Maltais F, Leblanc P, Jobin J, Casaburi R
Institut universitaire de cardiologie et de pneumologie, Hôpital Laval, Université Laval, Québec, Canada.
Rev Mal Respir. 2002 Sep;19(4):444-53.
Patients with chronic obstructive pulmonary disease (COPD) often develop systemic complications of their disease. Peripheral muscle dysfunction is one such complication and is characterised by atrophy, weakness, and low oxidative capacity. These muscle changes influence exercise tolerance and quality of life independent of the impairment in lung function. In the following article, the evidence for peripheral muscle dysfunction in patients with COPD and the possible clinical implications of this problem will be discussed. Lastly, the available therapeutic options to improve peripheral muscle function in COPD will be reviewed.
慢性阻塞性肺疾病(COPD)患者常出现该疾病的全身性并发症。外周肌肉功能障碍就是其中一种并发症,其特征为萎缩、无力和低氧化能力。这些肌肉变化独立于肺功能损害而影响运动耐力和生活质量。在接下来的文章中,将讨论COPD患者外周肌肉功能障碍的证据以及该问题可能的临床意义。最后,将综述改善COPD患者外周肌肉功能的现有治疗选择。