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儿童及青少年先天性心脏病康复中国专家共识

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先天性心脏病(CHD)是小儿最常见的先天性畸形之一.近年来全国范围CHD的检出率呈增长趋势,其中复杂CHD的比率逐年下降,经外科手术、介入手术或药物保守治疗后,约90%的患儿可生存至青少年期和成年期,并需要进行全面长期的评估随访.心脏康复是一种包含康复评估、运动训练、营养咨询、心理支持、健康教育、危险因素控制等行为干预的综合诊疗手段,部分研究已证实其对CHD人群的安全性和有效性.尽管我国CHD各区域治疗呈现提升趋势,但心脏康复尚处于起步阶段,缺乏统一评估和康复方案.为促进我国CHD领域里心脏康复的发展、应用和推广,由国内心外、心内、重症医学、儿科学、康复医学、运动学/运动医学、临床营养、精神心理、中医学等领域专家组成本共识编写委员会,编写此专家共识,原则上适用于0~18岁儿童及青少年.
Chinese Expert Consensus on Rehabilitation of Congenital Heart Disease in Children and Adolescents
Congenital heart disease (CHD) is one of the most common congenital malformations in children.With advances of imaging technics,the detection rate of CHD is increasing nationwide in recent years,and the rate of complex CHD is decreasing year by year.After surgical,interventional or conservative drug treatment,about 90% of children can survive to adolescence and adulthood,and comprehensive long-term evaluation and follow-up are thus required for these patients.Cardiac rehabilitation (CR) is a comprehensive diagnosis and treatment method including rehabilitation assessment,exercise training,nutritional consultation,psychological support,health education,risk factor control and other behavioral interventions.Previous studies have confirmed its safety and efficacy in improving the prognosis of children with CHD.Although the optimal treatment of CHD in various regions of China shows an increasing trend,CR is still in its infancy,and there is a lack of unified evaluation and rehabilitation programs.In order to promote the development and application of CR in the field of CHD in China,this consensus is formulated by the writing committee composed of experts in cardiac surgery,cardiology,intensive care medicine,pediatrics,rehabilitation medicine,sports/sports medicine,clinical nutrition,psychology and traditional Chinese medicine,the present consensus is in principle applicable to children and adolescents aged 0-18 years.

childrenadolescentpediatriccongenital heart diseaserehabilitation

国家心血管病中心生活方式医学专业委员会、国家心血管病中心先天性心脏病专业委员会、国家儿童医学中心心血管专科联盟、中国健康管理协会生活方式医学分会、中国女医师协会心脏康复专业委员会、冯雪、张浩

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儿童 青少年 小儿 先天性心脏病 康复

2024

中国循环杂志
中国医学科学院

中国循环杂志

CSTPCD北大核心
影响因子:2.803
ISSN:1000-3614
年,卷(期):2024.39(12)