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肺康复在慢性阻塞性肺疾病中的作用——历史视角

Role of pulmonary rehabilitation in chronic obstructive pulmonary disease - a historical perspective.

作者信息

Stavarache Ioan Emanuel, Buculei Ioana, Cernomaz Andrei, Vicol Cristina, Dabija Radu Adrian Crişan, Trofor Antigona Carmen

机构信息

"Grigore T. Popa" University of Medicine and Pharmacy, Iaşi, Romania.

出版信息

Med Pharm Rep. 2022 Oct;95(4):475-485. doi: 10.15386/mpr-2498. Epub 2022 Oct 27.

DOI:10.15386/mpr-2498
PMID:36506604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9694745/
Abstract

INTRODUCTION

Pulmonary rehabilitation is known as an effective therapy for patients with chronic obstructive pulmonary disease (COPD). This article is a brief introduction into the history of medical and pulmonary rehabilitation, presenting the evolution of applied therapies and methods from ancient to present times. It also highlights the role of physical effort in the prevention and treatment of lung diseases, with special consideration to COPD.

METHODS

For this literature review, the international databases Medline and Scopus were used to identify relevant articles, between January 1981 to December 2021; eighty articles were considered: thirty-six reviews, eight original research and six general articles which met the criteria for inclusion. A total of thirty references were excluded because they were not relevant.

RESULTS

Available published data suggest a rich history of rehabilitation reaching for thousands of years even though it was developed as a medical branch only in the 20th century. Pulmonary rehabilitation is currently an important component of the management of COPD patients, with a positive impact on symptoms, frequency of exacerbations, severity and mortality rates.

CONCLUSIONS

Even though this type of intervention is known to be beneficial for this type of patients more studies need to be conducted in this field.

摘要

引言

肺康复被认为是慢性阻塞性肺疾病(COPD)患者的有效治疗方法。本文简要介绍了医学和肺康复的历史,呈现了从古代到现代应用疗法和方法的演变。它还强调了体力活动在肺部疾病预防和治疗中的作用,特别关注COPD。

方法

对于这篇文献综述,使用国际数据库Medline和Scopus来识别1981年1月至2021年12月期间的相关文章;共考虑了80篇文章:36篇综述、8篇原创研究和6篇符合纳入标准的一般文章。总共排除了30篇参考文献,因为它们不相关。

结果

现有已发表的数据表明,康复有着数千年的丰富历史,尽管它直到20世纪才发展成为一个医学分支。肺康复目前是COPD患者管理的重要组成部分,对症状、急性加重频率、严重程度和死亡率有积极影响。

结论

尽管已知这种干预对这类患者有益,但该领域仍需要进行更多研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/c67656789c53/cm-95-475f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/d9fc76bfd3b9/cm-95-475f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/2bb44affe9b3/cm-95-475f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/4206b557e77d/cm-95-475f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/94b8aa1e9a72/cm-95-475f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/8f5dee8d4169/cm-95-475f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/c67656789c53/cm-95-475f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/d9fc76bfd3b9/cm-95-475f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/2bb44affe9b3/cm-95-475f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/4206b557e77d/cm-95-475f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/94b8aa1e9a72/cm-95-475f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/8f5dee8d4169/cm-95-475f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f741/9694745/c67656789c53/cm-95-475f6.jpg

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本文引用的文献

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Psychosocial Intervention in Chronic Obstructive Pulmonary Disease: Meta-Analysis of Randomized Controlled Trials.慢性阻塞性肺疾病的心理社会干预:随机对照试验的荟萃分析。
Psychosom Med. 2022 Apr 1;84(3):347-358. doi: 10.1097/PSY.0000000000001043.
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Defining Modern Pulmonary Rehabilitation. An Official American Thoracic Society Workshop Report.定义现代肺康复。美国胸科学会官方研讨会报告。
Ann Am Thorac Soc. 2021 May;18(5):e12-e29. doi: 10.1513/AnnalsATS.202102-146ST.
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Efficacy of a long-term pulmonary rehabilitation maintenance program for COPD patients in a real-life setting: a 5-year cohort study.
长期肺康复维持方案对 COPD 患者的疗效:一项真实环境下的 5 年队列研究。
Respir Res. 2021 Mar 10;22(1):79. doi: 10.1186/s12931-021-01674-3.
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An update on pulmonary rehabilitation techniques for patients with chronic obstructive pulmonary disease.慢性阻塞性肺疾病患者肺康复技术的最新进展。
Expert Rev Respir Med. 2020 Feb;14(2):149-161. doi: 10.1080/17476348.2020.1700796. Epub 2020 Jan 14.
5
Patients with COPD who underwent pulmonary rehabilitation in Turkey: prevalence, distribution, and mortality.土耳其行肺康复治疗的 COPD 患者:患病率、分布和死亡率。
Turk J Med Sci. 2020 Feb 13;50(1):141-147. doi: 10.3906/sag-1901-224.
6
Does health coaching improve health-related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta-analysis.健康教练是否能提高慢性阻塞性肺疾病患者的健康相关生活质量和减少住院?系统评价和荟萃分析。
Br J Health Psychol. 2019 Sep;24(3):515-546. doi: 10.1111/bjhp.12366. Epub 2019 Apr 29.
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Joints. 2018 Nov 5;6(3):167-172. doi: 10.1055/s-0038-1675164. eCollection 2018 Sep.
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