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基于运动的主动脉夹层患者心脏康复的范围综述。

A scoping review of exercise-based cardiac rehabilitation for patients with aortic dissection.

机构信息

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jiefang Avenue, Qiaokou District, 430030 Wuhan, Hubei, China.

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China.

出版信息

Rev Cardiovasc Med. 2021 Sep 24;22(3):613-624. doi: 10.31083/j.rcm2203072.

Abstract

Our objective was to provide evidence for exercise-based cardiac rehabilitation (ECR) for patients with aortic dissection (AD), so as to better improve the prognosis of patients and improve the quality of life (QoL) after discharge. The database PubMed, Embase, MEDLINE, Web of Science, Cochrane Library, WanFang Chinese database, ZhiWang Chinese database, Chinese Clinical Trials Registry from establishment of each database until February 2021 were included. A total of 1684 records were found by searching the database and clinical trial registry, 178 duplicate records were deleted, and 11 records met the inclusion criteria according to the screening process. We can conclude that ECR for patients with AD can effectively reduce complications and shorten the course of the disease. In addition, it is very safe because there are no serious adverse events occurring. Further research should be developed from three aspects, including the development of systematic evaluation indicators and standardized clinical exercise rehabilitation pathway, more randomized controlled trials, and the development of individualized exercise program so as to help patients with AD better improve the prognosis and QoL.

摘要

我们的目的是为主动脉夹层(AD)患者提供基于运动的心脏康复(ECR)的证据,以便更好地改善患者的预后并提高出院后的生活质量(QoL)。检索了数据库 PubMed、Embase、MEDLINE、Web of Science、Cochrane Library、万方中文数据库、知网中文数据库和中国临床试验注册中心,从每个数据库建立到 2021 年 2 月的所有记录。通过数据库和临床试验注册中心搜索共找到 1684 条记录,删除 178 条重复记录,根据筛选流程,有 11 条记录符合纳入标准。我们可以得出结论,ECR 可有效降低 AD 患者的并发症发生率并缩短病程。此外,由于没有发生严重的不良事件,因此该方法非常安全。进一步的研究应从三个方面展开,包括系统评价指标和规范化临床运动康复路径的开发、更多的随机对照试验以及个体化运动方案的制定,以帮助 AD 患者更好地改善预后和生活质量。

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