Dept of Pulmonary Diseases, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Eur Respir J. 2011 Dec;38(6):1468-74. doi: 10.1183/09031936.00111911. Epub 2011 Aug 4.
In patients with more severe chronic obstructive pulmonary disease (COPD), the benefits of rehabilitation might not be clear and, therefore, new treatment options have been developed to increase the benefits of rehabilitation. This review provides an overview of new approaches being developed as an addition to exercise training. In turn, the benefits of adding ventilatory support, oxygen, anabolics or neuromuscular stimulation to a rehabilitation programme will be discussed. While positive benefits for a number of these approaches have been found, many questions remain unsolved. Therefore, at present, we cannot recommend these new tools as part of the routine management of patients with COPD who start a rehabilitation programme.
在患有更严重慢性阻塞性肺疾病（COPD）的患者中，康复的益处可能并不明确，因此已经开发了新的治疗选择来增加康复的益处。本综述提供了正在开发的新方法的概述，作为运动训练的补充。反过来，将讨论在康复计划中添加通气支持、氧气、合成代谢药物或神经肌肉刺激的益处。虽然这些方法中的许多都有积极的益处，但仍有许多问题尚未解决。因此，目前，我们不能推荐这些新工具作为开始康复计划的 COPD 患者常规管理的一部分。
