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中华脑血管病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (03) : 167 -174. doi: 10.3877/cma.j.issn.1673-9248.2025.03.001

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脑心共患疾病的康复评定及治疗研究进展
贾凌云, 刘丽旭()   
  1. 100068,北京,首都医科大学康复医学院;中国康复研究中心北京博爱医院神经康复科
  • 收稿日期:2025-04-03 出版日期:2025-06-01
  • 通信作者: 刘丽旭
  • 基金资助:
    首都卫生发展科研专项项目(首发2024-2-6012)

Research progress in rehabilitation assessment and treatment of brain-heart comorbidity diseases

Lingyun Jia, Lixu Liu()   

  1. Rehabilitation Medicine of Capital Medical University, Department of Neurorehabilitation, Beijing Boai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2025-04-03 Published:2025-06-01
  • Corresponding author: Lixu Liu
引用本文:

贾凌云, 刘丽旭. 脑心共患疾病的康复评定及治疗研究进展[J/OL]. 中华脑血管病杂志(电子版), 2025, 19(03): 167-174.

Lingyun Jia, Lixu Liu. Research progress in rehabilitation assessment and treatment of brain-heart comorbidity diseases[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2025, 19(03): 167-174.

脑心共患疾病是指患者同时存在脑与心脏的病理损害,具有高发病率、高致残率及高死亡率的特点。脑与心血管疾病存在显著共病性,约37%的卒中患者合并缺血性心脏病,而心血管疾病亦增加脑血管事件风险。此类患者因运动功能障碍及自主神经紊乱,易继发心肺功能减退,加剧康复难度。心脏康复通过运动训练、心理干预等综合措施,可改善患者心肺适能、运动耐力及生活质量,但其在脑心共患疾病中的应用仍面临评估方法局限、方案个体化不足及依从性低等挑战。本文将综述脑心共患疾病的流行病学、病理机制,以及基于多维度评估和结合个性化干预手段对脑心共患疾病患者康复效果的研究进展。未来需探索远程康复、分层管理等多种创新模式,以优化康复疗效并提升患者参与度。

Brain-heart comorbidity diseases refer to the coexistence of pathological damage affecting the brain and the heart, characterized by high incidence, disability, and mortality rates. There is a significant comorbidity between cerebral and cardiovascular diseases, with approximately 37% of stroke patients concurrently suffering from ischemic heart disease, while cardiovascular diseases similarly increase the risk of cerebrovascular events. Patients with brain-heart comorbidity often experience motor dysfunction and autonomic nervous system dysregulation, predisposing them to secondary cardiopulmonary decline and ​further complicating rehabilitation. Cardiac rehabilitation (CR) improves cardiopulmonary fitness, exercise tolerance, and quality of life through comprehensive interventions including exercise training combined with psychological support. However, its application in brain-heart comorbidity diseases still face several challenges, including assessment methods, insufficient personalization of protocols, and poor patient adherence. This article reviews the epidemiology and pathological mechanisms of brain-heart comorbidity diseases, as well as advances in rehabilitation effectiveness based on multidimensional assessments and personalized interventions. Future research priorities include exploring innovative models such as telerehabilitation platforms and stratified management to optimize rehabilitation efficacy and enhance patient engagement.

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