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阻塞性通气功能障碍——功能评估与康复计划

Obstructive Ventilatory Dysfunctions-Functional Assessment and Rehabilitation Program.

作者信息

Andrei Gabriela-Marina, Marcu Eugenia-Andreea, Olteanu Mihai, Cioboată Ramona, Trăistaru Magdalena Rodica

机构信息

PhD Student, Doctoral School, University of Medicine and Pharmacy of Craiova, Romania.

Department of Infectious Disease, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2024 Apr-Jun;50(2):289-298. doi: 10.12865/CHSJ.50.02.15. Epub 2024 Jun 30.

DOI:10.12865/CHSJ.50.02.15
PMID:39371060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11447504/
Abstract

BACKGROUND

Obstructive ventilatory dysfunctions have an increased incidence, and through functional assessment determined by the International Classification of Functioning, Disability and Health (ICF), appropriate treatment can be established.

AIMS

The objectives of our research are represented by the application of respiratory rehabilitation sessions according to the ICF in patients with obstructive ventilatory dysfunctions-with COPD or asthma, using a unique, international language and the evaluation of the results obtained before and after completion pulmonary rehabilitation.

METHODS

We conducted a randomized prospective study between November 2022-April 2023, which included 84 patients diagnosed with obstructive ventilatory dysfunctions and who performed respiratory rehabilitation. They were divided into two categories: category 1-C1 which included 43 patients with Chronic Obstructive Pulmonary Disease-COPD and category 2-C2 which included 41 patients diagnosed with asthma. The rehabilitation program lasted 8 weeks, with exercises performed from Monday to Friday, with a weekend break. Respiratory rehabilitation consisted of physical therapy, inspiratory and expiratory muscle training (IEMT), proper nutrition, and psychotherapy.

RESULTS

At the end of the program, most of the patients showed improvements in the ICF qualifiers, a fact that supported us that respiratory recovery is one of the basic therapies of patients with obstructive ventilatory dysfunctions.

CONCLUSIONS

The ICF allows the application of a personalized respiratory rehabilitation program. The ICF qualifiers are used for the functional assessment of patients and allow they to be included in individualized medical rehabilitation programs.

摘要

背景

阻塞性通气功能障碍的发病率呈上升趋势，通过国际功能、残疾和健康分类（ICF）确定的功能评估，可以制定适当的治疗方案。

目的

我们研究的目标是，针对患有阻塞性通气功能障碍（慢性阻塞性肺疾病或哮喘）的患者，按照ICF应用呼吸康复疗程，使用一种独特的国际通用语言，并评估肺部康复前后所取得的结果。

方法

我们在2022年11月至2023年4月期间进行了一项随机前瞻性研究，纳入了84名被诊断为阻塞性通气功能障碍并接受呼吸康复治疗的患者。他们被分为两类：第1类（C1）包括43名慢性阻塞性肺疾病（COPD）患者，第2类（C2）包括41名被诊断为哮喘的患者。康复计划持续8周，从周一到周五进行锻炼，周末休息。呼吸康复包括物理治疗、吸气和呼气肌肉训练（IEMT）、合理营养和心理治疗。

结果

在该计划结束时，大多数患者在ICF限定值方面有所改善，这一事实支持我们认为呼吸康复是阻塞性通气功能障碍患者的基本治疗方法之一。

结论

ICF允许应用个性化的呼吸康复计划。ICF限定值用于患者的功能评估，并允许他们被纳入个性化的医学康复计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/1eb6f6a22453/CHSJ-50-02-289-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/629d5b1fd3ef/CHSJ-50-02-289-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/42ea31536670/CHSJ-50-02-289-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/dd460e0eda4f/CHSJ-50-02-289-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/28cc4befab18/CHSJ-50-02-289-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/81e32acff927/CHSJ-50-02-289-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/412a8372518a/CHSJ-50-02-289-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/5a703e93527c/CHSJ-50-02-289-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/dcf9d016145d/CHSJ-50-02-289-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/ef32334235b8/CHSJ-50-02-289-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/1eb6f6a22453/CHSJ-50-02-289-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/629d5b1fd3ef/CHSJ-50-02-289-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/42ea31536670/CHSJ-50-02-289-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/dd460e0eda4f/CHSJ-50-02-289-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/28cc4befab18/CHSJ-50-02-289-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/81e32acff927/CHSJ-50-02-289-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/412a8372518a/CHSJ-50-02-289-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/5a703e93527c/CHSJ-50-02-289-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/dcf9d016145d/CHSJ-50-02-289-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/ef32334235b8/CHSJ-50-02-289-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec98/11447504/1eb6f6a22453/CHSJ-50-02-289-fig10.jpg

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Ann Med. 2023 Dec;55(1):2231843. doi: 10.1080/07853890.2023.2231843.
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