针对急性心力衰竭康复患者的早期基于运动的干预措施的映射:一个范围广泛的综述
Akhila Satyamurthy1, Ramachandran Padmakumar2, Sivadasanpillai Harikrishnan3
1Department of Physiotherapy Manipal College of Health Professions, Manipal Academy of Higher Education Manipal Karnataka India.
Journal of the American Heart Association
|February 11, 2026
概括
对急性心力衰竭患者的早期运动干预是安全和有益的. 这次范围审查绘制了全球证据,发现干预措施通常在4天内启动,但缺乏标准化的协议.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 运动训练已被确立为急性心力衰竭 (AHF) 患者的安全和有益.
- 目前在AHF恢复的运动交付模式中存在显著的异质性.
- 需要对早期运动干预措施有全面的了解.
研究的目的:
- 对AHF患者的早期基于运动的干预措施的证据进行映射.
- 分析地理分布,运动处方和开始时间.
- 确定早期动员的模式,并在住院后进行运动训练.
主要方法:
- 使用PRISMA-扩展范围审查指南进行了范围审查.
- 在5个数据库中进行了系统搜索,直到2024年9月.
- 包括的研究涉及AHF患者从入院至出院后2周,包括协议.
主要成果:
- 包括30项涉及1,549,980名参与者的研究;26.6%专注于老年人.
- 干预主要来自中高收入国家和中高收入国家,主要是观察性的.
- 开始运动的中位数是3.8天,强度低至中等,10-60分钟的会议,平均8次会议.
- 标准化的启动,监控和终止标准并不常见.
结论:
- 早期以运动为基础的干预措施 (动员和/或训练) 应及时 (4天内) 对AHF患者进行.
- 这些干预措施通常是全面的,多模式的,强度低至中等.
- 进一步的研究应该集中在标准化协议和探索在全球不同环境中的干预措施上.
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