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[肺病康复]

[Rehabilitation in pneumology].

作者信息

Leitl Daniela, Jarosch Inga, Glöckl Rainer, Schneeberger Tessa, Rembert Koczulla Andreas

机构信息

Forschungsinstitut für pneumologische Rehabilitation, Schön Klinik Berchtesgadener Land, Malterhöh 1, 83471 Schönau am Königssee, Deutschland.

Pneumologische Rehabilitation, Deutsches Zentrum für Lungenforschung, Philipps-Universität Marburg, Marburg, Deutschland.

出版信息

Pneumologe (Berl). 2021;18(4):241-250. doi: 10.1007/s10405-021-00395-0. Epub 2021 May 7.

DOI:10.1007/s10405-021-00395-0
PMID:33976600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8103139/
Abstract

Pulmonary rehabilitation (PR) is an evidence-based multidisciplinary treatment for patients with chronic respiratory diseases. The indications for applying for PR are given if there is an appropriate rehabilitation capability, need for rehabilitation and favorable rehabilitation prognosis. The aims of PR are the reduction of symptoms and improvement of the quality of life and physical resilience. The efficiency of PR is well proven for patients with chronic obstructive pulmonary disease (COPD) with the highest evidence grade and for non-COPD patients with an increasing level of evidence based on randomized controlled trials and meta-analyses. The treatment content of PR is individually adapted to the patients' needs by a multidisciplinary treatment team. In order to sustainably maintain the success of PR there is the possibility to participate in outpatient aftercare programs (e.g. breathing exercises) and to utilize digital technologies as supporting measures.

摘要

肺康复(PR)是一种针对慢性呼吸道疾病患者的循证多学科治疗方法。如果具备适当的康复能力、有康复需求且康复预后良好,就可以进行PR治疗。PR的目标是减轻症状、提高生活质量和身体恢复力。基于随机对照试验和荟萃分析,PR对慢性阻塞性肺疾病(COPD)患者的有效性已得到充分证实,证据等级最高,对非COPD患者的有效性证据也在不断增加。PR的治疗内容由多学科治疗团队根据患者的需求进行个性化调整。为了可持续地维持PR的成效,可以参加门诊后续护理项目(如呼吸练习),并利用数字技术作为辅助措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/8103139/553f78c23c22/10405_2021_395_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/8103139/553f78c23c22/10405_2021_395_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c948/8103139/553f78c23c22/10405_2021_395_Fig1_HTML.jpg

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本文引用的文献

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Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study.新冠肺炎肺康复的益处:一项前瞻性观察队列研究。
ERJ Open Res. 2021 May 31;7(2). doi: 10.1183/23120541.00108-2021. eCollection 2021 Apr.
2
In-Patient Pulmonary Rehabilitation to Improve Asthma Control–A Randomized Controlled Study (EPRA, Effectiveness of Pulmonary Rehabilitation for Patients with Asthma).住院肺康复改善哮喘控制——一项随机对照研究(EPRA,哮喘患者肺康复的效果)。
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Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome?
新型冠状病毒感染3个月后仍存在的症状:新冠后综合征?
ERJ Open Res. 2020 Oct 26;6(4). doi: 10.1183/23120541.00542-2020. eCollection 2020 Oct.
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Benefits of pulmonary rehabilitation in patients with advanced lymphangioleiomyomatosis (LAM) compared with COPD - a retrospective analysis.晚期淋巴管肌瘤病(LAM)患者肺康复治疗的益处与 COPD 相比-回顾性分析。
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COVID-19: interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society- and American Thoracic Society-coordinated international task force.2019冠状病毒病:欧洲呼吸学会和美国胸科学会联合协调的国际特别工作组发布的关于医院及出院后康复的临时指南
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Feasibility and Efficacy of Cardiopulmonary Rehabilitation After COVID-19.COVID-19 后心肺康复的可行性和疗效。
Am J Phys Med Rehabil. 2020 Oct;99(10):865-869. doi: 10.1097/PHM.0000000000001549.
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[Recommendations from the German Respiratory Society for Pulmonary Rehabilitation in Patients with COVID-19].[德国呼吸学会关于新型冠状病毒肺炎患者肺康复的建议]
Pneumologie. 2020 Aug;74(8):496-504. doi: 10.1055/a-1193-9315. Epub 2020 Jun 24.
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Short-Term Effects of Comprehensive Pulmonary Rehabilitation and its Maintenance in Patients with Idiopathic Pulmonary Fibrosis: A Randomized Controlled Trial.特发性肺纤维化患者综合肺康复的短期效果及其维持:一项随机对照试验
J Clin Med. 2020 May 21;9(5):1567. doi: 10.3390/jcm9051567.
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Association Between Initiation of Pulmonary Rehabilitation After Hospitalization for COPD and 1-Year Survival Among Medicare Beneficiaries.COPD 住院后启动肺康复治疗与 Medicare 受益人的 1 年生存率之间的关联。
JAMA. 2020 May 12;323(18):1813-1823. doi: 10.1001/jama.2020.4437.
10
Supervised pulmonary tele-rehabilitation versus pulmonary rehabilitation in severe COPD: a randomised multicentre trial.监督下的肺远程康复与重度 COPD 肺康复:一项随机多中心试验。
Thorax. 2020 May;75(5):413-421. doi: 10.1136/thoraxjnl-2019-214246. Epub 2020 Mar 30.