Al-Gibouri Salam, Ringbæk Thomas, Lange Peter
Afdeling for Social Medicin, Institut for Folkesundhedsvidenskab, Københavns Universitet, Øster Farimagsgade 5, 1014 København K, Denmark.
Ugeskr Laeger. 2013 Apr 22;175(17):1185-8.
Muscle atrophy and exertional dyspnoea are common in patients with severe chronic obstructive pulmonary disease (COPD). Neuromuscular electrical stimulation (NMES) is a new type of training for these patients. A number of randomized trials show that NMES has a positive physiological and clinical effect of muscle strength and endurance in patients with advanced COPD and in patients with acute COPD exacerbations. However, this positive effect is not seen in patients with moderate COPD. We suggest that NMES should be integrated in rehabilitation programmes for patients with severe COPD.
肌肉萎缩和运动性呼吸困难在重度慢性阻塞性肺疾病（COPD）患者中很常见。神经肌肉电刺激（NMES）是针对这些患者的一种新型训练方法。多项随机试验表明，NMES对晚期COPD患者和急性COPD加重期患者的肌肉力量和耐力具有积极的生理和临床效果。然而，在中度COPD患者中未观察到这种积极效果。我们建议，NMES应纳入重度COPD患者的康复计划中。
