Mahler D A
Section of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Chest. 1998 Apr;113(4 Suppl):263S-268S. doi: 10.1378/chest.113.4_supplement.263s.
There has been a resurgence of interest in pulmonary rehabilitation mainly because the prevalence of COPD has increased, scientific studies document consistent benefits (increased exercise endurance and reduced dyspnea), and thoracic surgeons recognize that preoperative and postoperative conditioning enhances the results of lung volume reduction surgery and lung transplantation. Although education and psychosocial/behavioral interventions are important components of a multidimensional program, exercise training of the upper and lower extremities is essential to achieve the described improvements. Current programs vary considerably in the frequency, intensity, and duration of exercise reconditioning. Two "key" questions relating to pulmonary rehabilitation are as follows. What is an appropriate training intensity? How should patients monitor the training intensity? Maintenance exercise programs and the development of home- or community-based programs will be important future developments.
人们对肺康复的兴趣再度兴起，主要是因为慢性阻塞性肺疾病（COPD）的患病率有所上升，科学研究证明了其持续的益处（增加运动耐力和减轻呼吸困难），并且胸外科医生认识到术前和术后的身体状况调整可提高肺减容手术和肺移植的效果。尽管教育以及心理社会/行为干预是多维项目的重要组成部分，但上下肢的运动训练对于实现上述改善至关重要。目前的项目在运动康复的频率、强度和持续时间方面差异很大。与肺康复相关的两个“关键”问题如下。合适的训练强度是多少？患者应如何监测训练强度？维持运动项目以及开发基于家庭或社区的项目将是未来的重要发展方向。
