Christensen H R, Viskum K, Kampmann J P
Bispebjerg Hospital, medicinsk afdeling P, København.
Ugeskr Laeger. 1990 Oct 29;152(44):3237-40.
The literature concerning traditional chest physiotherapy (postural drainage, percussion, vibration, breathing exercises), treatments with masks (CPAP, IPPB, RMT, PEP, PEEP) and general physical training in the treatment of chronic bronchitis is reviewed. The mucociliary clearance is increased after postural drainage, cough, forced expiratory manoeuvres and general physical training, but the influence of this upon the course of the disease is unknown. Chest physiotherapy in the treatment of patients admitted on account of acute exacerbation of chronic bronchitis does not appear to help. The use of face masks in this population has only been subject to limited investigation, but results from controlled trials do not indicate any favourable effect. In contrast, general physical training seems to increase physical endurance and decrease dyspnoea. Specific rehabilitation programmes comprising psychological assistance, cessation of smoking and general physical training seem promising.
本文综述了有关传统胸部物理治疗（体位引流、叩击、振动、呼吸锻炼）、面罩治疗（持续气道正压通气、间歇正压通气、呼吸肌训练、呼气末正压通气、呼气末正压）以及全身体育锻炼在慢性支气管炎治疗中的文献。体位引流、咳嗽、用力呼气动作及全身体育锻炼后，黏液纤毛清除功能增强，但这对疾病进程的影响尚不清楚。胸部物理治疗对因慢性支气管炎急性加重而入院的患者似乎并无帮助。该人群中使用面罩的研究有限，但对照试验结果并未显示出任何有益效果。相比之下，全身体育锻炼似乎能提高身体耐力并减轻呼吸困难。包括心理支持、戒烟和全身体育锻炼的特定康复方案似乎很有前景。
