康复学报2025，Vol.35Issue(2)：112-123,12.DOI:10.3724/SP.J.1329.2025.02002
老年慢性心力衰竭全周期康复专家共识
Expert Consensus on Full-Cycle Rehabilitation for Elderly Patients with Chronic Heart Failure
摘要
Abstract
Heart failure(HF)represents a severe manifestation or critical stage in the spectrum of cardiac diseases.Chronic HF has a relatively high prevalence,posing significant physiological,psychological,and social challenges to patients despite optimal medical management.Evidence supports the efficacy of standardized rehabilitation programs in mitigating functional limitations and enhancing the quality of life for these patients.In response,the"Expert Consensus on Full-Cycle Rehabilitation for Elderly Patients with Chronic Heart Failure"has been developed to further standardize the academic guidance and clinical practices regarding diagno-sis,assessment,and treatment of chronic HF in the elderly.This consensus document delineates a structured approach to the defini-tion,etiology,classification,staging,and grading of chronic HF in the elderly.It outlines a full-cycle rehabilitation work model,en-compassing management processes,assessment of functional impairments,rehabilitation evaluations and therapeutic interventions.The full cycle rehabilitation model emphasizes a holistic rehabilitation cycle that addresses the entire disease trajectory,involves all relevant stakeholders,integrates tiered diagnostic and treatment approaches,and is adaptable across various geographical settings.This consensus elaborates in detail on the characteristics of functional impairments in elderly patients with chronic HF(cardiac func-tion,pulmonary function,motor function,cognitive function,mental function,pain,dysfunction of defecation and urination,sensory and cognitive dysfunction,etc.),as well as the rehabilitation assessment and treatment methods.It is proposed that based on the reha-bilitation assessment,personalized programs should be developed according to the specific conditions of the patients,including aero-bic exercise,resistance training,inspiratory muscle training,breathing training,cognitive function training,mental and psychologi-cal support,etc.关键词
慢性心力衰竭/心脏康复/全周期康复/康复评估/运动训练/专家共识Key words
chronic heart failure/cardiac rehabilitation/full-cycle rehabilitation/rehabilitation assessment/exercise training/expert consensus引用本文复制引用
何竟,房圆,姚黎清,朱一平,蒋泽武,李磊,张秀,任玲,贾杰,陈欣,董安琴,丁毅鹏,廖维靖,郑洁皎,余滨宾,陈作兵..老年慢性心力衰竭全周期康复专家共识[J].康复学报,2025,35(2):112-123,12.基金项目
国家重点研发计划项目(2018YFC2002304) （2018YFC2002304）
