Ikeda Shingo
Surgical Department of Respiratory Center, Mitsui Memorial Hospital, Tokyo, Japan.
Kyobu Geka. 2005 Jul;58(8 Suppl):625-31.
Respiratory rehabilitation is performed by a team of physicians, nurses, physiotherapists (respiratory therapists), nutritionists, and pharmacists together with the patient's family if necessary. In elderly patients, in whom chronic obstructive pulmonary disease (COPD) is often complicated before and after surgery, it is necessary to start respiratory physiotherapy and kinesiotherapy as the major therapies of respiratory rehabilitation in the early stage after surgery. Postoperative control of the amount of sputum, and recovery and maintenance of ventilatory gas exchange become possible by early respiratory rehabilitation, leading to prevention of complications, recovery of activities of daily living (ADL), and early discharge from hospital.
呼吸康复由医生、护士、物理治疗师（呼吸治疗师）、营养师和药剂师组成的团队进行，必要时还会有患者家属参与。在老年患者中，慢性阻塞性肺疾病（COPD）在手术前后常并发，因此有必要在术后早期开始呼吸物理治疗和运动疗法，作为呼吸康复的主要治疗方法。早期呼吸康复可实现术后痰液量的控制以及通气气体交换的恢复和维持，从而预防并发症、恢复日常生活活动能力（ADL）并提前出院。
