Alharbi Mohammed G, Kalra Harjeevan S, Suri Megha, Soni Nitin, Okpaleke Nkiruka, Yadav Shikha, Shah Suchitra, Iqbal Zafar, Hamid Pousette
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, Prince Mohammed Bin Abdulaziz Medical City, Aljouf, SAU.
Cureus. 2021 Oct 1;13(10):e18414. doi: 10.7759/cureus.18414. eCollection 2021 Oct.
Chronic obstructive pulmonary disease (COPD) is an obstructive and progressive airway disorder that is linked with a significant loss in daily physical activity as well as psychological issues that contribute to the patient's impairment and poor health-related quality of life. Over the last two decades, however, the research and application of nonpharmacologic therapies such as lung rehabilitation have been expedited with increasing evidence of systemic events in COPD patient groups and their nugatory impact on their functioning pulmonary rehabilitation (PR). It is a key part of integrated treatment for COPD and other chronic breathing disorders and is helpful in supporting the recovery of patients following COPD hospitalization. In this paper, we summarize current evidence regarding the effectiveness of PR in the management of chronic COPD. A systematic review was carried out during June 2021, searching databases PubMed, Google Scholar, and EBSCO. The authors extracted qualitative data, and then the author's names, year, study type, methodology, and the result were reported. The search of the aforementioned databases returned a total of 127 studies that were included for title, abstract, and full-text screening, and nine studies were enrolled for final data extraction. PR alleviates tiredness and dyspnea, improves emotional function, and increases the ability to do daily activities. These benefits are relatively extensive and substantial clinically. Rehabilitation acts as an important component of COPD management and helps to improve the quality of life and training linked to health.
慢性阻塞性肺疾病（COPD）是一种阻塞性、进行性气道疾病，与日常体力活动的显著丧失以及导致患者功能障碍和健康相关生活质量低下的心理问题有关。然而，在过去二十年中，随着越来越多的证据表明COPD患者群体存在全身性事件以及肺康复等非药物疗法对其肺功能康复的微小影响，非药物疗法的研究和应用得到了加速。它是COPD和其他慢性呼吸疾病综合治疗的关键部分，有助于支持COPD患者住院后的康复。在本文中，我们总结了当前关于肺康复在慢性COPD管理中有效性的证据。2021年6月进行了一项系统综述，检索了PubMed、谷歌学术和EBSCO数据库。作者提取了定性数据，然后报告了作者姓名、年份、研究类型、方法和结果。对上述数据库的检索共返回127项研究，这些研究被纳入标题、摘要和全文筛选，9项研究被纳入最终数据提取。肺康复可减轻疲劳和呼吸困难，改善情绪功能，并提高日常活动能力。这些益处临床上相对广泛且显著。康复是COPD管理的重要组成部分，有助于提高与健康相关的生活质量和训练水平。
