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《2019冠状病毒病成人呼吸康复建议》

[Recommendations for respiratory rehabilitation of coronavirus disease 2019 in adult].

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2020 Apr 12;43(4):308-314. doi: 10.3760/cma.j.cn112147-20200228-00206.

Abstract

COVID-19 is a highly infectious respiratory infection disease, which leads to dysfunction of respiratory, physical, and psychological of the patients. pulmonary rehabilitation is an important intervention for clinical patients as well as cure patients. With the deeper cognition of COVID-19 and accumulation of clinical experience, we proposed the recommendations for pulmonary rehabilitation of COVID-19 in adults based on the opinions of front-line clinical experts involved in the management of this epidemic and a review of the relevant literature and evidences: (1)for the inpatients with COVID-19, pulmonary rehabilitation would relieve the symptoms of dyspnea, anxiety, and depression; eventually improve physical function and the quality of life; (2)For severe/critical inpatients, the early performance of pulmonary rehabilitation is not suggested. (3)For isolating patients, the pulmonary rehabilitation guidence should be conducted through education video, instruction manual or remote consultation. (4)Assessment and monitor should be performed throughout the entire pulmonary rehabilitation process.(5)Taking proper grading protection following the guideline. These recommendations can serve as a clinical practice guidence and basis for pulmonary rehabilitation of COVID-19.

摘要

新型冠状病毒肺炎(COVID-19)是一种高传染性的呼吸道感染疾病,可导致患者呼吸、身体和心理功能障碍。肺康复是临床患者以及治愈患者的重要干预措施。随着对COVID-19认识的深入和临床经验的积累,我们基于参与该疫情管理的一线临床专家的意见以及对相关文献和证据的综述,提出了成人COVID-19肺康复的建议:(1)对于COVID-19住院患者,肺康复可缓解呼吸困难、焦虑和抑郁症状;最终改善身体功能和生活质量;(2)对于重症/危重症住院患者,不建议早期进行肺康复。(3)对于隔离患者,应通过教育视频、指导手册或远程咨询进行肺康复指导。(4)在整个肺康复过程中应进行评估和监测。(5)按照指南采取适当的分级防护。这些建议可作为COVID-19肺康复的临床实践指导和依据。

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