Zeng Yuqin, Jiang Fen, Chen Yan, Chen Ping, Cai Shan
Department of Pulmonary and Critical Care Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China,
Research Unit of Respiratory Disease, Central South University, Changsha, Hunan 410011, China,
Int J Chron Obstruct Pulmon Dis. 2018 Jun 26;13:2013-2023. doi: 10.2147/COPD.S167098. eCollection 2018.
Skeletal muscle dysfunction leads to reduction in activity in patients with COPD. As an essential part of the management of COPD, pulmonary rehabilitation (PR) alleviates dyspnea and fatigue, improves exercise tolerance and health-related quality of life, and reduces hospital admissions and mortality for COPD patients. Exercise is the key component of PR, which is composed of exercise assessment and training therapy. To evaluate PR's application in clinical practice, this article summarizes the common methods of exercise measurement and exercise training for patients with COPD. Exercise assessments should calculate patients' symptoms, endurance, strength, and health-related quality of life. After calculation, detailed exercise therapies should be developed, which may involve endurance, strength, and respiratory training. The detailed exercise training of each modality is mentioned in this review. Although various methods and therapies of PR have been used in COPD patients, developing an individualized exercise training prescription is the target. More studies are warranted to support the evidence and examine the effects of long-term benefits of exercise training for patients with COPD in each stage.
骨骼肌功能障碍会导致慢性阻塞性肺疾病（COPD）患者的活动能力下降。作为COPD管理的重要组成部分，肺康复（PR）可缓解呼吸困难和疲劳，提高运动耐力以及与健康相关的生活质量，并减少COPD患者的住院次数和死亡率。运动是PR的关键组成部分，它由运动评估和训练治疗组成。为了评估PR在临床实践中的应用，本文总结了COPD患者运动测量和运动训练的常用方法。运动评估应计算患者的症状、耐力、力量以及与健康相关的生活质量。计算之后，应制定详细的运动疗法，这可能包括耐力、力量和呼吸训练。本综述提到了每种方式的详细运动训练。虽然PR的各种方法和疗法已用于COPD患者，但制定个性化的运动训练处方是目标。需要更多研究来支持相关证据，并检验运动训练对各阶段COPD患者长期益处的效果。
