Celli B R
Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA.
Am J Respir Crit Care Med. 1995 Sep;152(3):861-4. doi: 10.1164/ajrccm.152.3.7663796.
The available evidence indicates that pulmonary rehabilitation benefits patients with symptomatic COPD. The effect of pulmonary rehabilitation programs on health care utilization is promising but requires further investigation. In contrast, aerobic lower extremity training is of benefit in several areas of importance to patients with COPD. These areas include exercise endurance, perception of dyspnea, quality of life, and self-efficacy. The exact role of upper extremity exercise and ventilatory muscle training in the exercise training programs requires further studies. Education and psychological support improve the awareness of the patient and increase their understanding of the disease, but when used alone they are of limited value. Pulmonary rehabilitation, when coupled with smoking cessation, optimization of blood gases, and medications, offers the best treatment option for patients with symptomatic airflow obstruction.
现有证据表明，肺康复对有症状的慢性阻塞性肺疾病（COPD）患者有益。肺康复计划对医疗保健利用的影响很有前景，但需要进一步研究。相比之下，有氧运动下肢训练在对COPD患者重要的几个方面有益。这些方面包括运动耐力、呼吸困难感知、生活质量和自我效能感。上肢运动和通气肌肉训练在运动训练计划中的确切作用需要进一步研究。教育和心理支持可提高患者的意识并增加他们对疾病的理解，但单独使用时价值有限。肺康复与戒烟、优化血气和药物治疗相结合，为有症状气流受限的患者提供了最佳治疗选择。
