Arnold Michael T, Dolezal Brett A, Cooper Christopher B
Exercise Physiology Research Laboratory, Departments of Medicine and Physiology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Tuberc Respir Dis (Seoul). 2020 Oct;83(4):257-267. doi: 10.4046/trd.2020.0064. Epub 2020 Aug 10.
Patients with chronic obstructive pulmonary disease receive a range of treatments including but not limited to inhaled bronchodilators, inhaled and systemic corticosteroids, supplemental oxygen, and pulmonary rehabilitation. Pulmonary rehabilitation is a multidisciplinary intervention that seeks to combine patient education, exercise, and lifestyle changes into a comprehensive program. Programs 6 to 8 weeks in length have been shown to improve health, reduce dyspnea, increase exercise capacity, improve psychological well-being, and reduce healthcare utilization and hospitalization. Although the use of pulmonary rehabilitation is widely supported by the literature, controversy still exists regarding what should be included in the programs. The goal of this review was to summarize the evidence for pulmonary rehabilitation and identify the areas that hold promise in improving its utilization and effectiveness.
慢性阻塞性肺疾病患者接受一系列治疗，包括但不限于吸入性支气管扩张剂、吸入性和全身性皮质类固醇、补充氧气以及肺康复治疗。肺康复是一种多学科干预措施，旨在将患者教育、运动和生活方式改变整合到一个综合项目中。为期6至8周的项目已被证明可改善健康状况、减轻呼吸困难、提高运动能力、改善心理健康，并减少医疗保健利用和住院次数。尽管肺康复的应用得到了文献的广泛支持，但关于这些项目应包括哪些内容仍存在争议。本综述的目的是总结肺康复的证据，并确定在提高其利用率和有效性方面有前景的领域。
