| 孟恬宇,任延平,张存泰.高龄患者心脏康复的获益与挑战[J].中国临床保健杂志,2026,29(3):296-304. |
| 高龄患者心脏康复的获益与挑战 |
| Benefits and challenges of cardiac rehabilitation for elderly patients |
| 投稿时间：2026-03-02 |
| DOI：10.3969/J.issn.1672-6790.2026.03.002 |
| 中文关键词: 心脏康复 健康状况指标 老年综合征 运动疗法 老年人,80岁及以上 |
| 英文关键词: Cardiac rehabilitation Health status indicators Geriatrics syndrome Exercise therapy Aged,80 and over Fund program:Scientific Research Project of Life Cycle Health Research Institute of Xi′an Jiaotong University |
| 基金项目:西安交通大学全生命周期健康研究院项目 |
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| 中文摘要: |
| 高龄老年人(≥80岁)常因多病共存和衰弱被视为心脏康复的禁区,但有证据表明该群体具有显著的可塑性与获益潜力。本文综述了高龄心脏康复面临的独特挑战与循证依据,指出其核心目标应从传统提升心肺适能向改善躯体功能状态转变,提出基于老年综合评估的个体化实施路径,依据风险分层(活力型、易损型、衰弱型)推荐了整合有氧、抗阻、平衡及柔韧训练的“多组分运动”模式,并探讨了家庭与远程康复等创新策略,旨在逆转衰弱、预防跌倒并提升高龄患者的生活质量。 |
| 英文摘要: |
| Older adults (≥ 80 years old) are often considered a forbidden zone for cardiac rehabilitation due to the coexistence and frailty of multiple diseases,but existing evidence suggests that this group has significant plasticity and potential benefits.This article summarizes the unique challenges and evidence-based basis faced by elderly patients with chronic respiratory failure,and points out that its core goal should shift from traditional improvement of cardiorespiratory fitness to improvement of physical functional status.The article proposes an individualized implementation path based on the Comprehensive Geriatric Assessment,and recommends a "multi-component exercise" mode that integrates aerobic,resistance,balance,and flexibility training according to risk stratification (active,vulnerable,and frail).Innovative strategies such as home and remote rehabilitation are also explored,aiming to reverse frailty,prevent falls,and improve the quality of life of elderly patients. |
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