重症卒中呼吸康复策略：从循证实践到精准康复的展望

doi:10.3969/j.issn.1673-5765.2026.02.004

中国卒中杂志 ›› 2026, Vol. 21 ›› Issue (2): 154-161.DOI: 10.3969/j.issn.1673-5765.2026.02.004

重症卒中呼吸康复策略：从循证实践到精准康复的展望

刘明月^1，2，3，靳沙沙¹，王志勇^2，3，付艳鑫⁴，张一唯⁴，倪隽^2，3，武亮⁴

1北京 102211 北京小汤山医院运动康复科
2福州 350005 福建医科大学附属第一医院康复医学科
3福州 350005 福建医科大学附属第一医院滨海院区国家区域医疗中心
4北京 100144 北京大学首钢医院康复医学科

收稿日期:2025-10-29 修回日期:2026-02-07 接受日期:2026-02-16 出版日期:2026-02-20 发布日期:2026-02-20
通讯作者: 倪隽 nijun1000@126.com 武亮 wuliang1972@sina.com
基金资助:
北京高层次创新创业人才支持计划青年拔尖人才（G202521161）
福建省科技创新联合资金项目（2023Y9085）

Respiratory Rehabilitation Strategies for Severe Stroke: A Review from Evidence-Based Practice to Precision Rehabilitation

LIU Mingyue^1,2,3, JIN Shasha¹, WANG Zhiyong^2,3, FU Yanxin⁴, ZHANG Yiwei⁴, NI Jun^2,3, WU Liang⁴

1Department of Sports Rehabilitation, Beijing Xiaotangshan Hospital, Beijing 102211, China
2Department of Rehabilitation Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China
3National Regional Medical Center, Binhai Campus of The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China
4Department of Rehabilitation Medicine, Peking University Shougang Hospital, Beijing 100144, China

Received:2025-10-29 Revised:2026-02-07 Accepted:2026-02-16 Online:2026-02-20 Published:2026-02-20
Contact: NI Jun, E-mail: nijun1000@126.com WU Liang, E-mail: wuliang1972@sina.com

摘要/Abstract

摘要： 重症卒中后呼吸功能障碍常合并呼吸中枢驱动失调、呼吸泵衰竭及气道保护失效等多类复杂且异质的病理机制，传统康复模式难以满足个体化临床需求。本文综述了以精准评估为导向的整合性呼吸康复框架。该框架以多模态生理评估为基础，构建重症卒中患者呼吸功能特征图谱，进而为多学科团队制订个体化干预方案提供依据。尽管目前该领域仍面临高级别证据不足等挑战，但未来结合人工智能辅助决策与靶向神经调控技术的精准康复模式，或将为重症卒中呼吸康复的发展提供新思路。

文章导读： 本文提出应针对重症卒中患者构建以精准评估为导向、多学科诊疗驱动的整合性呼吸康复框架，并展望人工智能与神经调控技术在此类患者中的临床应用，以期开创重症卒中呼吸康复新范式。

关键词: 重症卒中; 呼吸功能障碍; 呼吸功能评估; 康复策略

Abstract: Respiratory dysfunction after severe stroke often involves multiple complex and heterogeneous pathological mechanisms, including dysregulated central respiratory drive, respiratory pump failure, and airway protection failure. Conventional rehabilitation models are difficult to meet individualized clinical demands. This paper reviews an integrated respiratory rehabilitation framework guided by precision assessment. Based on multi-modal physiological assessments, this framework constructs a respiratory function profile for patients with severe stroke, thereby providing evidence for the multi-disciplinary team to formulate individualized intervention protocols. Although the field still faces challenges such as insufficient high-level evidence, precision rehabilitation models, which integrate artificial intelligence-assisted decision-making and targeted neuromodulation technology, may provide new insights into the development of respiratory rehabilitation in severe stroke.

Key words: Severe stroke; Respiratory dysfunction; Respiratory function assessment; Rehabilitation strategy

中图分类号:

刘明月, 靳沙沙, 王志勇, 付艳鑫, 张一唯, 倪隽, 武亮. 重症卒中呼吸康复策略：从循证实践到精准康复的展望[J]. 中国卒中杂志, 2026, 21(2): 154-161.

LIU Mingyue, JIN Shasha, WANG Zhiyong, FU Yanxin, ZHANG Yiwei, NI Jun, WU Liang. Respiratory Rehabilitation Strategies for Severe Stroke: A Review from Evidence-Based Practice to Precision Rehabilitation[J]. Chinese Journal of Stroke, 2026, 21(2): 154-161.

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重症卒中呼吸康复策略：从循证实践到精准康复的展望

Respiratory Rehabilitation Strategies for Severe Stroke: A Review from Evidence-Based Practice to Precision Rehabilitation

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