【摘要】 脑卒中后心功能障碍在临床上普遍存在，在脑卒中早期主要表现为脑心综合征，进入脑卒中恢复期主要表现为心肺耐力的下降。对脑卒中患者进行心脏康复可以预防和扭转这些健康危害，降低再次卒中或死亡的风险，具有重要的临床意义。但就目前而言，脑卒中后心脏康复的模式还处于探索的阶段，特别是研究往往集中在轻度至中度运动障碍的个体上，而对缺乏行走能力的重度运动障碍患者缺乏足够关注，本文作者结合目前国内外有关脑卒中后重度运动障碍患者心脏康复治疗的相关进展进行系统综述，以期为改善此类患者的心血管健康提供参考意见。更多还原

【Abstract】 Post-stroke cardiac dysfunction is a common clinical phenomenon. In the early stages of stroke, it frequently manifests as cerebral cardiac syndrome, while during the recovery period, it is predominantly characterized by reduced cardiopulmonary endurance. Cardiac rehabilitation in stroke patients has been demonstrated to be effective in preventing and reversing these deleterious health outcomes, thereby reducing the risk of recurrent stroke or mortality and carrying significant clinical significance. However, the current models for post-stroke cardiac rehabilitation remain in the exploratory stage. Notably, research has primarily focused on individuals with mild to moderate motor impairments, while patients with severe motor impairments who lack ambulatory capacity have received limited attention. The authors perform a systematic review of relevant advances in poststroke cardiac rehabilitation for patients with severe motor impairments, synthesizing findings from both domestic and international research. In order to provide valuable insights into enhancing the cardiovascular health of this patient population.更多还原