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中医康复临床实践指南·心肺康复 被引量:36

Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Cardiopulmonary
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摘要 心肺功能康复是现代康复医学的重要组成内容,心肺功能是人体生理功能的根基,心肺功能的高低直接影响着患者的生活质量和康复进程。循证医学显示,心肺康复是通过全面、规范的评定,采取药物、运动、营养、教育、心理等综合医疗干预手段进行心肺康复治疗,能有效提高患者循环系统和呼吸系统功能,改善患者生活质量,促进其回归家庭和社会生活。制定心肺中医康复临床实践指南的主要目的是规范临床心肺功能障碍评估及康复治疗方法,以提高康复疗效。本指南从范围、术语和定义、心肺系疾病的中医四诊(心系、肺系辨证分型)、心肺功能评估、心肺功能训练等方面对心肺康复流程进行梳理。其中心肺功能评估主要包括以下几个方面:病史、体格检查、辅助检查(心脏超声、心电图、动态心电图、心脏导管检查、肺容量测定、肺通气功能测试、气体代谢测试)、呼吸困难程度分级、功能性肺残疾分级、心功能分级、运动耐力的评估(6 min步行试验、心肺运动试验)、体适能评估(肌力、徒手柔韧性、平衡能力评估);心肺功能训练主要包括:肺通气与肺容量改善训练、气道廓清技术、呼吸肌训练、运动训练、针刺疗法、推拿疗法、太极罐疗法、耳穴疗法、中医导引术等。本指南可为各级各类康复机构、中医医院或综合医院的康复从业人员进行心肺康复治疗提供指导,具有较好的临床适用性及有效性。 Cardiopulmonary function rehabilitation is an important part of modern rehabilitation medicine,that is the foundation of human physiological function.The level of cardiopulmonary function directly affects the quality of life and rehabilitation process of patients with cardiopulmonary dysfunction.Based on evidence-based medicine,cardiopulmonary rehabilitation can effectively improve the function of circulatory system and respiratory system,improve the quality of life of patients,and promote them return to family and social life through comprehensive and standardized assessment and comprehensive medical interventions such as medicine,exercise,nutrition,education and psychology,etc..The main purpose of establishing the clinical practice guidelines of traditional Chinese medicine rehabilitation for cardiopulmonary is to standardize the evaluation of clinical cardiopulmonary dysfunction and rehabilitation treatment methods,so as to improve the rehabilitation effect.This guideline introduces the cardiopulmonary rehabilitation process from the scope,terms and definitions,the four diagnostic methods of cardiopulmonary diseases in TCM(syndrome differentiation and classification of heart system and lung system),cardiopulmonary function evaluation,cardiopulmonary function training.The cardiopulmonary function evaluation mainly includes the following aspects:medical history,physical examination,auxiliary examination(such as cardiac ultrasound,electrocardiogram,dynamic electrocardiogram,cardiac catheterization,lung capacity test,pulmonary ventilation function test,gas metabolism test),classification of dyspnea degree,classification of functional pulmonary disability,heart function score,evaluation of physical endurance(6-minute walking test,cardiopulmonary exercise test,fitness assessment(muscle strength,hand flexibility,balance ability assessment).The cardiopulmonary function training mainly includes the following aspects:pulmonary ventilation and lung capacity improvement training,airway clearance technology,respiratory muscle training,exercise training,acupuncture therapy,massage therapy,Taiji jar therapy,auricular therapy,guiding technique of TCM.This guideline is suitable for the rehabilitation practitioners in various rehabilitation institutions,traditional Chinese medicine hospitals or general hospitals for cardiopulmonary rehabilitation treatment,with good clinical applicability and effectiveness.
作者 刘西花 李晓旭 毕鸿雁 王贤良 郑心 杨玉如 郝世杰 无;LIU Xihua;LI Xiaoxu;BI Hongyan;WANG Xianliang;ZHENG Xin;YANG Yuru;HAO Shijie(Working Group of Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Cardiopulmonary;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250014,China;The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;School of Rehabilitation,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China)
出处 《康复学报》 CSCD 2020年第4期259-265,269,共8页 Rehabilitation Medicine
基金 中国中医药科技开发交流中心中医康复服务能力规范化项目专项课题(GZK-KT201901-05) 国家自然科学基金青年项目(81802239)。
关键词 心肺 中医 康复 指南 cardiopulmonary traditional Chinese medicine rehabilitation guideline
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