摘要
慢性阻塞性肺疾病急性加重(AECOPD)是慢性阻塞性肺疾病(COPD)患者住院治疗的最常见原因,给卫生医疗系统造成严重的经济负担。同时,AECOPD使患者有关运动耐力、骨骼肌功能、心理状态等方面的生活质量明显降低。肺康复作为一种包括运动训练、健康教育等个性化综合干预措施或许可以减轻这些负面影响并减少再入院。但最近国内外一些研究也表明对于急性加重期的COPD患者进行早期肺康复训练的模式及效果并不很理想。因此,对于是否应该早期行肺康复仍然缺乏共识。本文主要就肺康复的概念及发展、AECOPD患者早期肺康复的相关研究与争议、AECOPD患者骨骼肌功能障碍与肺康复及需要注意的问题等方面作一综述,旨在为AECOPD患者的早期肺康复训练提供参考和依据。
Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is the most common cause of hospital admission for patients with chronic obstructive pulmonary disease(COPD)and places great burden upon healthcare systems.Meanwhile,AECOPD is associated with significant reductions in the quality of life in terms of exercise tolerance,skeletal muscle function,psychological state and so on.Pulmonary rehabilitation,a personalized comprehensive intervention comprising exercise training and health education,may reduce these negative effect and hospital readmission.However,some recent studies at home and abroad have also shown that the model and effect of early pulmonary rehabilitation training for patients with AECOPD are not ideal.Therefore,there is still a lack of consensus on whether early pulmonary rehabilitation should be performed.In this paper,the concept and development of pulmonary rehabilitation,the related research and controversy of early pulmonary rehabilitation in patients with AECOPD,the skeletal muscle dysfunction and pulmonary rehabilitation and problems needing attention are reviewed,aimed at providing reference and basis for early pulmonary rehabilitation in AECOPD patients.
作者
陈云兰
王永红
CHEN Yun-lan;WANG Yong-hong(College of Clinical Medicine,Hebei University of Engineering,Hebei Province,Handan056004,China;Department of Respiratory and Critical Care Medicine,Handan Central Hospital,Hebei Province,Handan056001,China)
出处
《中国当代医药》
CAS
2021年第7期33-36,共4页
China Modern Medicine
基金
河北省邯郸市科学技术研究与发展计划项目(19422083005ZC)。
关键词
肺康复
慢性阻塞性肺疾病
急性加重期
临床效果
骨骼肌功能障碍
Pulmonary rehabilitation
Chronic obstructive pulmonary disease
Acute exacerbation
Clinical effect
Skeletal muscle dysfunction
