慢性阻塞性肺疾病肺康复治疗进展及实践 - 中国实用医学杂志社.pdf

314 Chinese Journalof Practical InternalMedicine Apr. 2010 Vol. 30 No. 4 郑则广, 齐亚飞, 朱顺平 : 1005- 2194( 2010) 04- 0314- 03 : R5 : A : 已证实肺康复能有效地减轻慢性阻塞性肺疾病( COPD) 患者的呼吸困难, 提高运动耐力和健康 相关生活质量不同严重程度的COPD患者均可从肺康复中受益其内容主要包括运动锻炼吸气肌肉 训练营养疗法等,运动锻炼是肺康复的核心内容近年来,提高肺康复效果的方法有了新发展, 主要包括 增加运动量教育管理和心理支持虽然肺康复传统地应用于稳定期 COPD患者, 但对于 AECOPD 患者, 感染控制后就可开始早期肺康复肺康复应当遵循运动量的最大化,并个体化和联合不同方法 : 慢性阻塞性肺疾病; 健康相关生活质量;肺康复 The progress and practice of pulm onary reha ilitation in patients w ith chronic o structive pulm onary disease. ZHEN G Z e2guang, QI Ya2f e,i ZH U Shun2p ing. D epartm ent of Resp ira toryM edicine, GuangzhouM ed i2 cal College the F irstAff iliated hosp ita,l Guangzhou 510120, China Summ ary: Pulmonary rehabilitation has been shown to be effective in reducing dyspnea and mi proving exer2 cise capacity and health2related quality of life in peoplewithCOPD. COPD patientswith varying severity can bene2 fit from pulmonary rehabilitationwhich includes exercise training, inspiratorymuscle training and nutritional inter2 vention, et al. Exercise training is the basis of pulmonary rehabilitation. In the last decade, new strategies have been developed to enhance the effects of pulmonary rehabilitation, which include promoting exercise and activity, education and self2management, psychosocial intervention. Although pulmonary rehabilitation has traditionally been provided in stable COPD patients, pulmonary rehabilitation could be started as soon as infection is controlled for AECOPD patients. As pulmonary rehabilitation is adm inistrated, the patients should be encouraged to do exercise asmuch as possiblewith different kind of training. K eywords: chronic obstructive pulmonary disease; health2related quality of life; pulmonary rehabilitation 郑则广, 主任医师教授硕士生 导师现任广州医学院第一附属医院 COPD,, 呼吸科病区主任5临床和实验医学