Stresemann E
MMW Munch Med Wochenschr. 1976 Jan 16;118(3):73-8.
Respiratory therapy of ventilation disorders involves a redistribution of the work of the respiratory musculature from above downwards, relieving the auxiliary musculature, increasing the excursion of the lower part of the thorax and relaxation of the diaphragm. It is pointless to provide respiratory techniques for use as exercises only when the body is in a state of rest; suitable respiratory techniques must rather be of the pattern of spontaneous respiratory movement which keeps control in stress situations also. The patient must learn to recognise the limit of his own pulmonary functional capacity, so that he can reduce the work load in good time before it is reached. Respiratory therapy is increased even more by passive positive pressure respiration which enables passive inspiration, sparing inspiratory respiratory work, with active exercise therapy in the expiratory phase, and which can be combined with inhalation treatment.
通气障碍的呼吸治疗包括将呼吸肌的工作从上向下重新分配，减轻辅助肌肉的负担，增加胸廓下部的活动度以及使膈肌放松。仅在身体处于休息状态时提供呼吸技术用作锻炼是毫无意义的；合适的呼吸技术应该是自发呼吸运动的模式，在应激情况下也能保持控制。患者必须学会认识自己肺功能的极限，以便在达到极限之前及时减轻工作负荷。被动正压通气进一步增强了呼吸治疗效果，它能实现被动吸气，节省吸气时的呼吸功，在呼气阶段进行主动运动治疗，并且可以与吸入治疗相结合。
