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系统性红斑狼疮患者体力活动的研究进展
陈妍伶,梁燕,王英,陈红
0
(四川大学华西医院 风湿免疫科;四川大学华西医院护理部/华西护理学院)
摘要:
系统性红斑狼疮(SLE)是一种累及多系统的自身免疫疾病,尽管近年SLE预后有了显著改善,心血管疾病(CVD)仍是SLE患者死亡的主要原因之一。 除了SLE疾病本身和治疗原因外,久坐少动的生活方式也增加了SLE患者罹患CVD的风险。虽然已有大量研究证实了体力活动对健康的益处,在SLE患者日常管理中医务人员还是很少强调改变生活方式的重要性,忽视了对体力活动的评估和促进。本文收集近年来国内外SLE患者体力活动的相关文献,总结SLE患者体力活动的测量方法、现状及其与CVD风险和其他健康结局的关系。尽管体力活动水平有多种主客观测量方法,但目前还没有一种单一可靠方法能够完全满足各方面的需求。鉴于SLE患者的体力活动水平整体偏低,大多数SLE患者的体力活动水平没有达到指南推荐量,且SLE患者本身是罹患CVD的高危人群,因此应将体力活动的评估及促进纳入SLE患者的治疗和日常照护中,以降低SLE患者罹患CVD的风险,提高生活质量,改善预后。
关键词:  体力活动  运动  系统性红斑狼疮  心血管疾病
DOI:
基金项目:四川省卫生计生委普及应用项目(17PJ302)
Research progress of physical activity in patients with systemic lupus erythematosus
CHEN Yanling,LIANG Yan,WANG Ying,CHEN Hong
(Department of Rheumatology and Immunology, West China Hospital, Sichuan University;Department of Nursing, School of Nursing, West China Hospital of Sichuan University)
Abstract:
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease. In recent decades, the prognosis of SLE has been improved significantly, however, cardiovascular diseases (CVD) remains to be one of the main cause of death in SLE patients. Apart from disease itsself and treatment, sedentary lifestyle also increases the risk of CVD. Although a large amount of researches have confirmed the benefits of physical activity, it is not adequately addressed by health professionals in daily management of SLE. Thus, the assessment and promotion of physical activity is overlooked. This study retrospectively review the literature on physical activity in SLE patients to summarize the measurement and status of physical activity in SLE patients, and the relationship between physical activity and CVD risk and other health outcomes. Despite various subject and object measurements are available, there is no single measurement which can fit every situation. In consideration of the fact that the physical activity level of SLE patients is low and does not reach the recommendation of guidelines, and they are in high risk of CVD, it is reasonable to conclude that the assessment and promotion of physical activity should be instigated in the treatment and daily care to attenuate the risk of CVD, ameliorate quality of life and improve prognosis.
Key words:  Physical activity  Exercise  Systemic lupus erythematosus  Cardiovascular disease

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