慢性心臟衰竭病人接受運動訓練的臨床效益與安全性

Clinical Efficacy and Safety of Exercise Training among Chronic Heart Failure Patients

胡國琦(Gwo-Chi Hu) ； 莊曜嘉(Yao-Chia Chuang) ； 簡國龍(Kuo-Liong Chien)

《內科學誌》 21卷3期 (2010/06) Pp. 165-171

https://doi.org/10.6314/JIMT.2010.21(3).01

摘要

最近幾年，慢性心臟衰竭疾病的盛行率和發生率穩定地增加，由於這類病患需要使用龐大的醫療資源，和疾病本身對病患的生活品質的影響，所以對於這類病患的治療應該要全面性的考量。雖然醫療技術和新藥的研發，可以減少心臟衰竭病人的死亡率，但是還是有很多的病人飽受運動耐力不夠與生活品質不佳之苦。運動訓練對於慢性心臟衰竭病人有很多機轉可以改善臨床結果，本文針對最近的文獻中關於慢性心臟衰竭病人接受運動訓練的臨床效益、接受運動訓練的安全性議題，以及接受運動訓練參與率和完成率的議題做一回顧。

關鍵字

慢性心臟衰竭 ； 運動訓練 ； 生活品質 ； 致死率和罹病率 ； 運動能力

並列摘要

The prevalence and incidence of chronic heart failure (CHF) is steadily increasing in recently years. Due to the high levels of health care utilization and the impact of CHF on the quality of life of patients, more attention to improving the overall management of patients with chronic heart failure is required. Despite major advancing in medical technological and pharmacological treatment of chronic heart failure, many patients will still suffer from dyspnea, diminished exercise capacity and poor quality of life. There are various potential mechanisms in which exercise training may improve clinical outcomes in chronic heart failure patients. This article reviews the efficacy of exercise training on clinical outcomes and addressing the safety of exercise training and the issue of participation and adherence in exercise training in heart failure patient.

並列關鍵字

Chronic heart failure ； Exercise training ； Quality of life ； Mortality and morbidity ； Exercise capacity