Machida Kazuko
Tokyo National Chest Hospital.
Nihon Rinsho. 2003 Dec;61(12):2187-92.
Pulmonary rehabilitation(PR) is comprehensive care for patients with chronic pulmonary disorder, especially chronic obstructive pulmonary disease. PR is done by team approach and individualized according to the patient's goal. The important components of PR are assessment, patient education, exercise, psychosocial support and follow-up. Patient education includes understanding of pathophysiology of patient's own lung disease, breathing retraining, bronchial hygiene, smoking cessation, medications, nutrition and prevention of acute exacerbation. The role of exercise training is most important and its efficacy has been strongly supported. Exercise training program should include both lower and upper extremity training, and in selected patients ventilatory muscle training is recommended. PR improves exercise tolerance, dyspnea, health-related QOL. Follow-up care is needed for long-term benefits.
肺康复（PR）是针对慢性肺部疾病患者，尤其是慢性阻塞性肺疾病患者的综合护理。PR采用团队协作方式进行，并根据患者目标进行个性化定制。PR的重要组成部分包括评估、患者教育、运动、心理社会支持和随访。患者教育包括了解自身肺部疾病的病理生理学、呼吸再训练、支气管卫生、戒烟、药物治疗、营养以及预防急性加重。运动训练的作用最为重要，其效果得到了有力支持。运动训练计划应包括上下肢训练，对于部分患者，建议进行通气肌肉训练。PR可提高运动耐量、缓解呼吸困难、改善与健康相关的生活质量。为获得长期益处，需要进行随访护理。
