Celli B R
Department of Pulmonary/Critical Care, St. Elizabeth's Medical Center Boston, Massachusetts, USA.
Med Clin North Am. 1996 May;80(3):589-609. doi: 10.1016/s0025-7125(05)70455-7.
The available evidence indicates that pulmonary rehabilitation benefits patients with symptomatic COPD. The effect of pulmonary rehabilitation programs on health care use 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 training programs requires further studies but should be used in patients who develop symptoms with arm activities. Psychological support improves the awareness of the patient and increases his or her understanding of the disease, but when used alone it is 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。肺康复项目对医疗保健使用的影响很有前景，但需要进一步研究。相比之下，有氧下肢训练对COPD患者几个重要方面有益。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。上肢运动训练项目的确切作用需要进一步研究，但应在进行手臂活动时出现症状的患者中使用。心理支持可提高患者的意识并增加其对疾病的了解，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。
