Kubori Yohei, Yasuda Yuji, Tamaki Akira
Department of Rehabilitation Medicine, Yasuda Clinic, Kyoto, JPN.
Department of Respiratory Medicine, Yasuda Clinic, Kyoto, JPN.
Cureus. 2024 Jul 7;16(7):e64049. doi: 10.7759/cureus.64049. eCollection 2024 Jul.
Pulmonary rehabilitation (PR) has been shown to alleviate dyspnea, increase exercise capacity, and improve quality of life in patients with chronic obstructive pulmonary disease (COPD). However, such PR programs have focused on short-term effects. Thus, this study aimed to report our experience with a COPD patient who underwent PR once a week for one year. An 84-year-old male with stage II COPD, which was classified by the Global Initiative for Obstructive Lung Disease, presented symptoms of dyspnea while walking. The patient underwent PR once a week for one year, which included exercise training, self-management support, instructions on breathing during exertion, and respiratory muscle stretching. Before and after PR, we assessed the patient's physical function, dyspnea, and quality of life. For one year, no adverse events were recorded. We observed that the patient's physical function, dyspnea, and quality of life improved over time. In particular, his six-minute walking distance (6MWD) reached the minimal clinically important difference at three months and the predictive value of 6MWD for healthy adults at six months. The present case showed that a PR program conducted once a week for one year might be feasible and effective.
肺康复（PR）已被证明可缓解慢性阻塞性肺疾病（COPD）患者的呼吸困难、提高运动能力并改善生活质量。然而，此类肺康复计划一直侧重于短期效果。因此，本研究旨在报告我们对一名COPD患者的治疗经验，该患者每周接受一次肺康复治疗，为期一年。一名84岁男性，根据慢性阻塞性肺疾病全球倡议组织的分类，患有II期COPD，行走时出现呼吸困难症状。该患者每周接受一次肺康复治疗，为期一年，治疗内容包括运动训练、自我管理支持、运动时的呼吸指导以及呼吸肌拉伸。在肺康复治疗前后，我们评估了患者的身体功能、呼吸困难情况和生活质量。在这一年中，未记录到不良事件。我们观察到，随着时间的推移，患者的身体功能、呼吸困难情况和生活质量均有所改善。特别是，他的6分钟步行距离（6MWD）在三个月时达到了最小临床重要差异，在六个月时达到了健康成年人的6MWD预测值。本病例表明，每周进行一次、为期一年的肺康复计划可能是可行且有效的。
