Department of Physiotherapy, Monash University, Melbourne, VIC, Australia.
Monash Lung and Sleep, Monash Health, Melbourne, VIC, Australia.
Respirology. 2019 Sep;24(9):871-878. doi: 10.1111/resp.13569. Epub 2019 Apr 30.
Pulmonary rehabilitation (PR) is a highly effective, established therapy to improve exercise intolerance, impaired quality of life and limb muscle weakness associated with a range of chronic respiratory diseases. The evidence base for PR is largest in the area of chronic obstructive pulmonary disease (COPD), yet its role in other obstructive lung diseases such as asthma is less well defined. Despite several features being common across both COPD and asthma, factors such as younger age or employment may affect the potential applicability of traditional PR models for patients with asthma. This review examines the current evidence regarding PR for the obstructive lung diseases of COPD and asthma. It offers appraisal of some of the strengths and weaknesses of existing literature, identifies areas in need of future research and details some of the issues facing clinicians responsible for the clinical management and rehabilitation of patients with these diseases.
肺康复（PR）是一种非常有效的既定疗法，可以改善与一系列慢性呼吸系统疾病相关的运动不耐受、生活质量受损和肢体肌肉无力。PR 的证据基础在慢性阻塞性肺疾病（COPD）领域最大，但在哮喘等其他阻塞性肺部疾病中的作用则不太明确。尽管 COPD 和哮喘有一些共同的特征，但年龄较轻或就业等因素可能会影响哮喘患者应用传统 PR 模式的可能性。本综述检查了目前关于 COPD 和哮喘这两种阻塞性肺部疾病的 PR 证据。它对现有文献的一些优缺点进行了评估，确定了未来研究的需求领域，并详细介绍了负责这些疾病患者临床管理和康复的临床医生所面临的一些问题。
