Makhdami Nima, Farooqi Malik, Thom-Fernandes Cedel, Raghavan Natya G
Department of Medicine, Division of Respirology, McMaster University, Hamilton, Ontario, Canada.
Curr Opin Pulm Med. 2020 Sep;26(5):470-476. doi: 10.1097/MCP.0000000000000700.
This review will provide an overview of the components and current evidence to support pulmonary rehabilitation in patients with interstitial lung diseases (ILD), focusing on the latest findings in enhancing quality of life and functional capacity using exercise training and education.
Recent literature demonstrates a longer duration of pulmonary rehabilitation results in sustained improvements in functional capacity and quality of life in patients with ILD. Educational components tailored to ILD provide added value to supervised exercise training. Enhancing exercise training with hyperoxia merits further study and other modalities such as pursed-lip breathing have been shown to be counterproductive.
Recent evidence continues to support the use of tailored pulmonary rehabilitation programs in patients with ILD. Areas which require further investigation include identifying optimal exercise training regimens, educational topics, and breathing techniques that are specifically designed for ILD.
本综述将概述间质性肺疾病(ILD)患者肺康复的组成部分及当前支持证据,重点关注通过运动训练和教育提高生活质量和功能能力的最新研究结果。
近期文献表明,较长疗程的肺康复可使ILD患者的功能能力和生活质量持续改善。针对ILD量身定制的教育内容为有监督的运动训练增添了价值。高氧增强运动训练值得进一步研究,而诸如缩唇呼吸等其他方式已被证明会适得其反。
近期证据继续支持为ILD患者使用量身定制的肺康复方案。需要进一步研究的领域包括确定专门为ILD设计的最佳运动训练方案、教育主题和呼吸技巧。