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1、体医融合与健康中国Integration of Sport and Medicine and A Healthy China全国卫生与健康大会National Conference of Hygiene and Health将健康融入所有政策,把人民健康放在优先发展的战略地位Integrate health into all policies and place peoples health at theforefront of strategic development影响个人健康和寿命的因素Factors that affect personal health and longevity生

2、活方式 60%lifestyle环境因素17%environmental factor生物学因素15%biological factors医疗卫生8%health careFramingham:倡导预防 Framingham: Advocate prevention“心血管事件,与其说是治疗的开始,不如说是医疗的失败” Krumholz HM et al. Circulation. doi:10.1161/CIRCULATIONAHA.113.007787. 他山之石:美国CVD状况Anothers good quality or suggestion: The CVD status of t

3、he US急性心梗 acute myocardialinfarction不稳定心绞痛 Unstable angina pectorisKrumholz HM et al. Circulation. doi:10.1161/CIRCULATIONAHA.113.007787. 他山之石:美国CVD状况Anothers good quality or suggestion: The CVD status of the US心力衰竭 cardiac failure卒中 apoplexy芬兰北卡曙光Dawn of North KareliaMaleFemale健康教育 HealthEducation改

4、变生活方式/行动 Changes lifestyle/action“4S”服务体系 4S Service System心肺肾 HeartLungKidney患病人群康复/预防体系 Sick population - rehabilitation / prevention system高危人群健康管理 High risk population - health management老年群体医养结合 Elderly population - combination of medical treatment andconvalesce健康人群健康促进 Healthy population - hea

5、lth promotion5大处方 5 Major prescriptions我国心脏预防康复总体模式The Overall Pattern of Cardiac Prevention and Rehabilitation in China1 个中心 2 个主动 3 个脏器 4 S体系 5 大处方 1 Center2 Initiative3 Internalorgans4S System5 MajorPrescriptions以公众健康与患者利益为中心Take public health and patient interests as the center一个扁担挑两头One shoulde

6、r pole carry both ends健康教育健康教育产业Health educationHealth education industry健康服务健康服务业Health serviceHealth service industry落实自我管理健康和慢病Implement self-management of health and chronicdiseases意识和责任Awareness and responsibility知识和技能Knowledge and skills实践和实效Practice and effectiveness全人群 全生命周期防治康养4S服务体系Whole l

7、ife cycle prevention and cure, rehablitation and convalesce of the whole population 4S service system患病人群康复/预防体系Sick population - rehabilitation / prevention system高危人群健康管理High risk population - health management老年群体医养结合Elderly population - combination of medical treatment and convalesce健康人群健康促进Heal

8、thy population - health promotion预防康复五大处方5 Major Prescriptions of preventive rehabilitation药物处方 drug prescription运动处方 exercise prescription营养处方 nutrition prescription心理处方 psychological prescription戒烟处方 smoking cessation prescription*中国专家共识与指南 Chinese expert consensus and guidelines加强体医融合和非医疗健康干预推动全民

9、健身与全民健康深度融合Strengthen the integration of sports and medicine and non-medical health interventionto promote the in depth integration of national fitness and national health1990年编译出版的COOPER有氧代谢运动Aerobic Metabolism Exercise by COOPER,complied and published in 19902016年在海拨4250米的雪集拉山 at snow Jila mountai

10、n with an altitude of 4250 meters, 20162012年COOPER在北京 COOPER in Beijing, 2012健走运动 sport walkingGet Cooperized聆听Cooper的教诲 Everyoneshould walk the dog twice a day, whether theyhave a dog or not 每个人都应该每天遛狗两次,无论他们有没有狗。Age fast,age slow-its up to you,If you cannot find thetime to exercise ,you better fin

11、d the time to be sick 衰老的快慢取决于你,如果你找不到锻炼的时间,那就最好为生病腾出时间。Exercise is the best way to handle stress physiological 运动是处理抗逆生理的最佳方式Exercise is for all ages,It is never too late to get inshape and stay in shape . 运动是适用于任何年龄段的,恢复身形和保持下去,永远都不晚运动是良医运动是良药Exercise is good doctor and good medicineCooper Clinic

12、, Preventive Medicine 库珀诊所, 预防医学 Cooper Aerobics Center 库珀有氧运动中心AHA科学声明:“有氧能力”应被列为“临床生命指征”,以预测评估健康风险 AHA Scientific Statement: Aerobic capacity should be classified asclinical vital signs to predict and assess health risks 有氧代谢运动有独特的、不可替代、附加的效果Aerobic exercise has a unique, irreplaceable, additional

13、 effect1改善心脏功能; Improve heart function2增强肺功能; Enhance lung function3. 增强骨骼密度,预防骨质疏松 Increase bone density and prevent osteoporosis4减肥Lose weight5. 缓解压力,改善心理状态 Relieve stress and improve mental state6. 促进侧枝循环形成 Promote the formation of collateral circulation 不同代谢当量的死亡风险Risk of death at different meta

14、bolic equivalents6213名男性(心血管病3679,无心血管疾病2534),平均随访6.2年 6213 men (with cardiovascular disease 3679, without cardiovascular disease 2534), an average follow-up of 6.2years死亡相对风险高血压 COPD 糖尿病 吸烟 BMI30 总胆固醇220 不同代谢当量正常人与心血管病患者死亡风险比较Comparison of death risk between normal person and CVD patients atdiffere

15、nt metabolic equivalents6213名男性(心血管病3679,无心血管疾病2534),平均随访6.2年 6213 men (with cardiovascular disease 3679, without cardiovascular disease 2534), an average follow-up of 6.2years 死亡相对风险运动能力五分位值 正常人 心血管病患者 创建高效低成本健康慢病管理模式推广应用适宜技术Create efficient and low-cost health and chronic disease managementmodelPr

16、omote the application of appropriate technologyHealth care services 4S shop, providing active management, service and care培养教育患者与家庭,发挥患者自我管理健康与慢病的积极性、主动性和能力,实现群防群治Educate patients and families to develop patients positivity, initiative and ability ofself-management of health and chronic disease to a

17、chieve group prevention andtreatment互联网+健康,有效互动工具包括智能手机、可穿戴设备等Internet + health, effective interactive tools including smart phones, wearable devices,etc.未来医疗:两个主动、有效互动 Future medical care: two initiative and effective interaction健康医疗服务业的4S店,提供主动管理、服务和关爱患者主动参与决策,群防群控Patients take the initiative to p

18、articipate in decision-making, group prevention and group controlnew medicinemobile connection andnetwork coveragesocial networkcomputing power - datatraditional medicinewireless sensorinformationsystemhyperconvergencecreativedestructiongenomicsimagingtechnologyInternet2014 : 20 2015 200 2020 1000 中

19、国心脏康复中心 Chinese Cardiac Rehabilitation Center中国心脏预防康复实践China Cardiac Preventive Rehabilitation Practice办好专病俱乐部Run special diseases clubs well Wear穿中国鞋 走中国路 圆健康中国梦 Chinadream弥合裂痕 应对挑战 Bridging the rift to meet the challengeChinese shoes to walk the Chinese road and realise a healthy恩格斯:历史合力论Engels: the theory of historical resultant force各种因素相互作用的历史合力是社会发展的终极原因 The historical resultant for

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