Waghe Vaishnavi R, Lalwani Lajwanti, Chilhate Priyanka K
Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Mar 4;16(3):e55537. doi: 10.7759/cureus.55537. eCollection 2024 Mar.
This study focuses on a 56-year-old male laborer who presented to the respiratory department with grade III dyspnea persisting for 20 days, aggravated in the mornings, accompanied by chest pain over the last two days. The patient reported a productive cough producing yellowish sputum for 15 days and an ongoing fever during this period. With a two-year medical history of seasonal bronchial asthma, the patient had been using an inhaler three times daily for the past month. Additionally, a 20-year history of smoking, averaging five cigarettes per day, was disclosed. Investigations revealed hyperinflation of the lungs on X-ray, indicative of an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). The patient was prescribed a four-week pulmonary rehabilitation protocol, incorporating physiotherapy. Baseline assessments were conducted using outcome measures such as pulmonary function test (PFT), functional independence measure (FIM), and six-minute walk distance (6MWD) before initiating treatment to evaluate the patient's performance. Following the prescribed pulmonary rehabilitation regimen, notable improvements were observed in PFT, FIM, and 6MWD. These findings underscore significant enhancements in exercise tolerance and overall functional capacity. The results suggest that a structured pulmonary rehabilitation program can lead to meaningful clinical benefits in individuals experiencing AECOPD, particularly when tailored to individual patient needs and characteristics.
本研究聚焦于一名56岁男性劳动者,他因Ⅲ级呼吸困难持续20天就诊于呼吸科,晨起时加重,且在过去两天伴有胸痛。患者自述有15天咳痰呈黄色且伴有发热。该患者有两年季节性支气管哮喘病史,在过去一个月里每天使用吸入器三次。此外,患者有20年吸烟史,平均每天吸五支烟。检查显示X线胸片提示肺过度充气,提示慢性阻塞性肺疾病急性加重(AECOPD)。患者接受了为期四周的包含物理治疗的肺康复方案。在开始治疗前,使用肺功能测试(PFT)、功能独立性测量(FIM)和六分钟步行距离(6MWD)等结果指标进行基线评估,以评估患者的表现。遵循规定的肺康复方案后,观察到PFT、FIM和6MWD有显著改善。这些发现强调了运动耐力和整体功能能力的显著提高。结果表明,结构化的肺康复计划可以给经历AECOPD的个体带来有意义的临床益处,特别是当根据个体患者的需求和特征进行调整时。