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Outpatient pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.慢性阻塞性肺疾病患者的门诊肺康复治疗
Int J Chron Obstruct Pulmon Dis. 2008;3(1):155-62. doi: 10.2147/copd.s2126.
2
Role of comorbidities in a cohort of patients with COPD undergoing pulmonary rehabilitation.合并症在接受肺康复治疗的慢性阻塞性肺疾病患者队列中的作用。
Thorax. 2008 Jun;63(6):487-92. doi: 10.1136/thx.2007.086371. Epub 2008 Jan 18.
3
Assessing the impact of pulmonary rehabilitation on functional status in COPD.评估肺康复对慢性阻塞性肺疾病（COPD）功能状态的影响。
Thorax. 2008 Feb;63(2):115-21. doi: 10.1136/thx.2006.076844. Epub 2007 Sep 27.
4
Extending a home from hospital care programme for COPD exacerbations to include pulmonary rehabilitation.将慢性阻塞性肺疾病急性加重期的医院护理出院延伸计划扩展至纳入肺康复。
Respir Med. 2005 Oct;99(10):1297-302. doi: 10.1016/j.rmed.2005.02.033. Epub 2005 Mar 31.
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6-minute walk work for assessment of functional capacity in patients with COPD.6分钟步行试验用于评估慢性阻塞性肺疾病患者的功能能力。
Chest. 2003 May;123(5):1408-15. doi: 10.1378/chest.123.5.1408.
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A randomized, controlled trial comparing long-term and short-term exercise in patients with chronic obstructive pulmonary disease.一项比较慢性阻塞性肺疾病患者长期和短期运动的随机对照试验。
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ATS statement: guidelines for the six-minute walk test.美国胸科学会声明：六分钟步行试验指南
Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102.
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Cost effectiveness of an outpatient multidisciplinary pulmonary rehabilitation programme.门诊多学科肺康复计划的成本效益
Thorax. 2001 Oct;56(10):779-84. doi: 10.1136/thorax.56.10.779.
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Usefulness of the modified 0-10 Borg scale in assessing the degree of dyspnea in patients with COPD and asthma.改良版0-10 Borg量表在评估慢性阻塞性肺疾病（COPD）和哮喘患者呼吸困难程度中的应用价值。
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慢性阻塞性肺疾病患者的物理治疗

Physiotherapy in Patients with Chronic Obstructive Pulmonary Disease.

作者信息

Dimitrova Antoaneta, Izov Nikolay, Maznev Ivan, Vasileva Dance, Nikolova Milena

机构信息

Department of Physiotherapy and Rehabilitation, National Sports Academy "V. Levski", Sofia, Bulgaria.

Department of Aquatic Sports, National Sports Academy "V. Levski", Sofia, Bulgaria.

出版信息

Open Access Maced J Med Sci. 2017 Sep 9;5(6):720-723. doi: 10.3889/oamjms.2017.176. eCollection 2017 Oct 15.

DOI:10.3889/oamjms.2017.176
PMID:29104679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5661708/
Abstract

BACKGROUND

Physiotherapy is an essential for the treatment of patients with chronic respiratory non-inflammatory diseases especially for chronic obstructive pulmonary disease (COPD).

AIM

To assess the effect of six months physiotherapy (PT) program on functional status in patients with COPD.

MATERIAL AND METHODS

The patients were divided into two groups according to the severity of the disease. Group A included 33 patients (mean age 68.6 ± 7.3; GOLD II - III stages). Group B included 32 patients (mean age 71.7 ± 6.9; GOLD I -II). They were referred to supervised PT program performed three times weekly for a half a year. All the patients were on standard medical care. At entry and after PT, six minutes walking test (6 MWT), Borg scale and modified Medical Research Council (mMRC) scale were assessed.

RESULTS

Significant changes in 6 MWT (p < 0.001) and mMRC scale (p < 0.001) were found after applied physical therapy program in patients of group A. Exertional dyspnoea decreased significantly in patients with group A (p < 0.001). Positive changes were found in physical tolerance in the patients of group B (p < 0.001).

CONCLUSIONS

The present study revealed the positive effect of six months physiotherapy in physical tolerance and dyspnoea in patients with COPD at different stages of the disease.

摘要

背景

物理治疗对于慢性非炎性呼吸系统疾病患者的治疗至关重要，尤其是对于慢性阻塞性肺疾病（COPD）患者。

目的

评估为期六个月的物理治疗（PT）方案对COPD患者功能状态的影响。

材料与方法

根据疾病严重程度将患者分为两组。A组包括33例患者（平均年龄68.6±7.3岁；GOLD II - III期）。B组包括32例患者（平均年龄71.7±6.9岁；GOLD I - II期）。他们被安排接受为期半年、每周三次的监督下的PT方案。所有患者均接受标准医疗护理。在入组时和PT治疗后，评估六分钟步行试验（6MWT）、Borg量表和改良医学研究委员会（mMRC）量表。

结果

A组患者接受物理治疗方案后，6MWT（p < 0.001）和mMRC量表（p < 0.001）有显著变化。A组患者运动性呼吸困难显著减轻（p < 0.001）。B组患者的身体耐力有积极变化（p < 0.001）。

结论

本研究揭示了为期六个月的物理治疗对不同疾病阶段COPD患者的身体耐力和呼吸困难有积极影响。