Suppr超能文献

肺康复对慢性阻塞性肺疾病(COPD)急性加重期的影响:一例报告

The Impact of Pulmonary Rehabilitation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD): A Case Report.

作者信息

Waghe Vaishnavi R, Lalwani Lajwanti, Chilhate Priyanka K

机构信息

Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Mar 4;16(3):e55537. doi: 10.7759/cureus.55537. eCollection 2024 Mar.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65fa/10993079/9fc888ddc9c2/cureus-0016-00000055537-i01.jpg

相似文献

2
[Standard technical specifications for methacholine chloride (Methacholine) bronchial challenge test (2023)].
Zhonghua Jie He He Hu Xi Za Zhi. 2024 Feb 12;47(2):101-119. doi: 10.3760/cma.j.cn112147-20231019-00247.
6
Pulmonary rehabilitation versus usual care for adults with asthma.
Cochrane Database Syst Rev. 2022 Aug 22;8(8):CD013485. doi: 10.1002/14651858.CD013485.pub2.
10
Pulmonary Rehabilitation Improves Outcomes in Chronic Obstructive Pulmonary Disease Independent of Disease Burden.
Ann Am Thorac Soc. 2017 Jan;14(1):26-32. doi: 10.1513/AnnalsATS.201607-551OC.

本文引用的文献

2
Worldwide prevalence of viral infection in AECOPD patients: A meta-analysis.
Microb Pathog. 2017 Dec;113:190-196. doi: 10.1016/j.micpath.2017.10.021. Epub 2017 Oct 14.
3
Determining prognosis in acute exacerbation of COPD.
Int J Chron Obstruct Pulmon Dis. 2017 Jan 31;12:467-475. doi: 10.2147/COPD.S122382. eCollection 2017.
4
Survival after pulmonary rehabilitation in patients with COPD: impact of functional exercise capacity and its changes.
Int J Chron Obstruct Pulmon Dis. 2016 Oct 26;11:2671-2679. doi: 10.2147/COPD.S113450. eCollection 2016.
5
Acute exacerbation of COPD.
Respirology. 2016 Oct;21(7):1152-65. doi: 10.1111/resp.12780. Epub 2016 Mar 30.
7
Clinical characteristics of patients with chronic obstructive pulmonary disease with comorbid bronchiectasis: a systemic review and meta-analysis.
Int J Chron Obstruct Pulmon Dis. 2015 Jul 28;10:1465-75. doi: 10.2147/COPD.S83910. eCollection 2015.
8
COPD: early diagnosis and treatment to slow disease progression.
Int J Clin Pract. 2015 Mar;69(3):336-49. doi: 10.1111/ijcp.12522. Epub 2014 Oct 31.
9
Pulmonary rehabilitation.
Eur Respir Rev. 2014 Mar 1;23(131):55-63. doi: 10.1183/09059180.00008013.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验