2019新型冠状病毒肺炎呼吸康复指导意见(第二版)出院后康复治疗部分解读  

Unscrambling of Respiratory Rehabilitation Guidance for COVID-19,Discharged Chapter(Second Edition)

作　　者：王家玺 王鑫[1] 司徒炫明 卢茜[1] 李明真 侯来永[1] 谢欲晓[1] WANG Jiaxi;WANG Xin;SITU Xuanming;LU Xi;LI Mingzhen;HOU Laiyong;XIE Yuxiao(China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院,北京100029

出　　处：《康复学报》2020年第2期93-99,共7页Rehabilitation Medicine

摘　　要：文章对《2019新型冠状病毒肺炎呼吸康复指导意见(第二版)》出院康复治疗部分进行解读,并通过可视化的视频形式进行展示。其目标是帮助呼吸科医师、康复科医师、综合内科医师、康复治疗师、物理治疗师、作业治疗师及护士等专业人员对新冠肺炎出院患者进行呼吸康复专业指导。出院患者呼吸康复的主要内容包括:①呼吸训练;②吸气肌训练;③排痰训练;④有氧训练;⑤日常生活活动能力干预;⑥力量训练;⑦平衡功能训练。呼吸训练及吸气肌训练可帮助患者有效提高呼吸效率,减少呼吸做功,缓解呼吸困难症状;排痰训练可帮助患者有效减少痰液潴留,降低感染风险;有氧训练可帮助患者有效提高体能;力量训练及平衡功能训练可有效提高患者肢体运动功能;日常生活活动能力干预可有效帮助患者回归家庭,重返工作岗位。文章及视频详细介绍了呼吸康复训练的介入时机、中止指标、操作规范、各项训练的形式、强度、时间、频率及注意事项。We introduce the chapter for discharged patients in "Guidelines for the respiratory rehabilitation of the Corona Virus Disease 2019(the second edition)" in this paper and present with video.The purposes are to help respiratory doctors, rehabilitation doctors, general physicians, rehabilitation therapists, physiotherapists, occupational therapists, nurses and other medical professionals to perform professional respiratory rehabilitation for the discharged patients with COVID-19. The contents of respiratory rehabilitation mainly include the following: ① Breathing training;② Inspiratory muscles training;③ Sputum excretion training;④ Aerobic training;⑤ Activity ability training in daily life;⑥ Strength training;⑦ Balance function training. The breathing training and the inspiratory muscles training could help the patients to improve respiratory efficiency, reduce consumption of breathing, and relieve symptoms of dyspnea. The Sputum excretion training could help the patients to reduce sputum retention and risk of infection. The aerobic training could help the patients to improve physical fitness. The strength training and balance function training could help the patients to improve their limb motor function. Activity ability training in daily life could help the patients to return to family and return to work. Aspects are all introduced in detail both in the paper and in the video such as when to begin the training, what are the indicators to stop,the standard procedures, the specific form, intensity, time, frequency, points for attention when training.

关 键 词：新型冠状病毒肺炎 呼吸康复 出院患者 指导意见 

分 类 号：R563.1[医药卫生—呼吸系统] R493[医药卫生—内科学]