Pulmonary Rehabilitation Program, Seton Medical Center, Daly City, CA, USA.
Respir Care. 2012 Jul;57(7):1154-60. doi: 10.4187/respcare.01469. Epub 2012 Feb 10.
Exercise training is an essential component of pulmonary rehabilitation and is associated with improved function and other important outcomes in persons with chronic lung disease. A subset of pulmonary rehabilitation patients experience hypoxemia that may occur or worsen with exercise. For the purpose of this review, severe exercise-induced hypoxemia is defined as an S(pO(2)) of < 89% during exercise, despite use of supplemental oxygen delivered at up to 6 L/min. There is a paucity of evidence and clinical guidelines that address assessment and management of this important manifestation of chronic lung disease. This review presents background of this topic and suggests strategies for assessment, management, and safety measures for patients with severe exercise-induced hypoxemia.
运动训练是肺康复的重要组成部分，可改善慢性肺部疾病患者的功能和其他重要结局。一部分肺康复患者存在低氧血症，运动时可能发生或加重低氧血症。本综述中，严重运动诱导性低氧血症定义为运动时 s(pO(2))<89%，尽管使用高达 6 L/min 的补充氧气。目前针对这种慢性肺部疾病的重要表现形式的评估和管理，缺乏证据和临床指南。本综述介绍了该主题的背景，并提出了严重运动诱导性低氧血症患者的评估、管理和安全措施策略。
