Schneeberger Tessa, Abdullayev Gaffar, Koczulla Andreas Rembert
Rehabilitation (Stuttg). 2023 Aug;62(4):232-247. doi: 10.1055/a-2043-6767. Epub 2023 Aug 14.
Reduced exercise capacity, skeletal muscle dysfunction, and a physically inactive lifestyle are linked with symptoms of fatigue and dyspnea in people suffering from chronic lung disease. Numerous such extrapulmonary manifestations have been identified as treatable aspects of pulmonary rehabilitation (PR). PR is an extensive personalized non-pharmaceutical intervention, encompassing, but not limited to, exercise training, respiratory therapy, and education. The content and goals of a PR-program are based on a comprehensive patient assessment at the time of rehabilitation admission, with personalized therapies provided by a multidisciplinary team of healthcare professionals. This article provides an overview of PR including possible indications, therapy contents (e. g. exercise training, respiratory therapy), and evidence (COPD, interstitial lung disease, COVID-19). Finally, options for pulmonary rehabilitation maintenance services in Germany are presented.
运动能力下降、骨骼肌功能障碍以及缺乏运动的生活方式与慢性肺病患者的疲劳和呼吸困难症状有关。许多此类肺外表现已被确定为肺康复（PR）的可治疗方面。肺康复是一种广泛的个性化非药物干预，包括但不限于运动训练、呼吸治疗和教育。肺康复计划的内容和目标基于康复入院时的全面患者评估，由多学科医疗专业团队提供个性化治疗。本文概述了肺康复，包括可能的适应症、治疗内容（如运动训练、呼吸治疗）以及证据（慢性阻塞性肺疾病、间质性肺疾病、2019冠状病毒病）。最后，介绍了德国肺康复维持服务的选择。
