Wright R W, Larsen D F, Monie R G, Aldred R A
Respir Care. 1983 Nov;28(11):1474-9.
Pulmonary rehabilitation can be a beneficial and cost-effective mode of therapy for patients with chronic obstructive pulmonary disease (COPD). At St Joseph's Hospital in Stockton, California, we established a multi-disciplinary, 10-week program combining outpatient education with aerobic exercise to promote both improved subjective well-being and increased exercise tolerance in patients with COPD. We studied 74 patients who had completed the program at least 1 year before the study began. Subjective data about the program were collected by use of a questionnaire. Changes in physical work capacity were measured by use of stress tests performed before and after the program was completed. Of the 57 patients responding to the questionnaire, most felt that the program had improved the quality of their lives. After the program was completed, significant decreases were seen in oxygen consumption, minute ventilation, and heart rate during treadmill exercise. The number of days of hospitalization for the group decreased from 497 in the year before completing the program to 34 the year after.
肺康复对于慢性阻塞性肺疾病（COPD）患者而言，可能是一种有益且具有成本效益的治疗方式。在加利福尼亚州斯托克顿的圣约瑟夫医院，我们制定了一个为期10周的多学科项目，将门诊教育与有氧运动相结合，以促进COPD患者主观幸福感的提升和运动耐力的增强。我们研究了74名在研究开始前至少1年就已完成该项目的患者。通过问卷调查收集有关该项目的主观数据。通过在项目完成前后进行的压力测试来测量体力工作能力的变化。在回复问卷的57名患者中，大多数人认为该项目改善了他们的生活质量。项目完成后，在跑步机运动期间，氧气消耗量、分钟通气量和心率均显著下降。该组的住院天数从完成项目前一年的497天降至完成项目后一年的34天。
