Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, Australia.
Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Respirology. 2019 Sep;24(9):879-888. doi: 10.1111/resp.13562. Epub 2019 Apr 19.
Pulmonary rehabilitation is a core aspect in the management of patients with chronic respiratory diseases. This paper describes a practical approach to establishing pulmonary rehabilitation for patients with non-COPD diagnoses using examples from the interstitial lung disease (ILD), pulmonary hypertension (PH), bronchiectasis and lung cancer patient populations. Aspects of pulmonary rehabilitation, including the rationale, patient selection, setting of programmes, patient assessment and training components (both exercise and non-exercise aspects), are discussed for these patient groups. Whilst there are many similarities in the rationale and application of pulmonary rehabilitation across these non-COPD populations, there are also many subtle differences, which are discussed in detail in this paper. With consideration of these factors, pulmonary rehabilitation programmes can be adapted to facilitate the inclusion of respiratory patients with non-COPD diagnoses.
肺康复是慢性呼吸系统疾病管理的核心内容之一。本文通过列举间质性肺疾病（ILD）、肺动脉高压（PH）、支气管扩张和肺癌患者人群的例子，描述了一种实用的方法，用于为非 COPD 诊断患者建立肺康复。本文讨论了这些患者群体的肺康复的各个方面，包括其基本原理、患者选择、方案设置、患者评估和训练内容（运动和非运动方面）。虽然在这些非 COPD 人群中，肺康复的基本原理和应用有许多相似之处，但也存在许多细微的差异，本文对此进行了详细讨论。考虑到这些因素，可以调整肺康复方案，以促进包括非 COPD 诊断的呼吸患者。
