目的 检索、评价并总结老年慢性心衰患者运动康复的最佳证据,为临床实践提供可靠的循证医学依据。方法 检索国内外数据库及指南网站中老年慢性心衰患者运动康复的相关证据,检索时限为各数据库建立之时至2025年11月。由2名研究者分别进行文献质量评价,证据提取和汇总。结果 共纳入文献20篇,其中临床决策3篇、指南8篇、专家共识3篇、系统评价6篇。从适宜人群、禁忌证、运动前评估、运动方案及运动中止情况5个方面总结16条证据。结论 总结的最佳证据能为临床医护人员制订老年慢性心衰患者运动康复方案提供循证医学依据。

Objective To retrieve,evaluate and summarize the best evidence for exercise rehabilitation in elderly patients with chronic heart failure (CHF),so as to provide reliable evidence-based medical references for clinical practice. Methods Relevant evidence concerning exercise rehabilitation in elderly CHF patients was retrieved from domestic and international databases and guideline websites,with the retrieval time ranging from the inceptions to November 2025.Two researchers independently conducted literature quality evaluation,evidence extraction and evidence summarization.Results A total of 20 literatures were included,among which there were 3 clinical decisions,8 guidelines,3 expert consensuses and 6 systematic reviews.A total of 16 pieces of evidence were summarized from five aspects,namely suitable population,contraindications,pre-exercise assessment,exercise protocol and exercise termination criteria.Conclusions The summarized best evidence can provide an evidence-based basis for clinical medical and nursing staff to formulate exercise rehabilitation protocols for elderly patients with CHF.

R473.54

国家中医优势专科建设项目(国中医药医政函〔2024〕90号)；长沙市创新平台与人才计划项目(108439)