早期呼吸康复在AECOPD患者中的应用效果新进展  

New research progress on the application effect of early pulmonary rehabilitation in patients suffered with Acute exacerbation of COPD

作　　者：王鑫 江海娇[2] 张鹏[2] 周全[2] 叶小铭 袁莉萍[2] 陶秀彬[2] 刘玲 高坤 张晶 Wang Xin;Jiang Haijiao;Zhang Peng;Zhou Quan;Ye Xiaoming;Yuan Liping;Tao Xiubin;Liu Ling;Gao Kun;Zhang Jing(People’s hospital of Yingshang county,Fuyang,Anhui,236200,China;Department of critical care medicine,Yijishan hospital of Wannan Medical College/Anhui clinical medical research center for critical respiratory diseases,Wuhu,Anhui,241000,China)

机构地区：[1]颍上县人民医院,安徽阜阳236200 [2]皖南医学院弋矶山医院重症医学科/安徽省危重症呼吸疾病临床医学研究中心,安徽芜湖241000

出　　处：《齐齐哈尔医学院学报》2022年第6期562-565,共4页Journal of Qiqihar Medical University

基　　金：弋矶山医院科技创新团队“攀峰”培育计划(PF2019014);安徽省医疗卫生重点专科建设项目(2021-273)。

摘　　要：呼吸康复(pulmonary rehabilitation,PR)已经证实能改善慢性阻塞性肺疾病(COPD)患者的生活质量,并减少急性加重。2017年ERS/ATS不建议急性期COPD患者住院期间进行呼吸康复,建议在出院后三周内进行早期呼吸康复训练,从而改善生活质量,降低患者的再住院率。国内外一些研究表明,对慢性阻塞性肺疾病急性加重(Acuteexacerbation of COPD,AECOPD)患者实施呼吸训练,可以有效的减轻呼吸困难症状并且提高其对运动的耐力。是否应该尽早进行呼吸康复目前尚无共识。本文主要针对呼吸康复定义、关于急性期呼吸康复的研究和争论、康复方案以及需要注意的问题进行综述,以便为COPD急性加重患者实施正确和标准化的康复计划提供参考。Pulmonary rehabilitation(PR)has been verified could improve quality of life and reduce acute exacerbation in patients with chronic obstructive pulmonary disease(COPD).In 2017,ERS/ATS does not recommend respiratory rehabilitation for patients with acute COPD during hospitalization,but recommends early respiratory rehabilitation training within three weeks after discharge to improve the quality of life and reduce the re-hospitalization rate of patients.Some studies at home and abroad show that respiratory training for patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)could effectively reduce the symptoms of dyspnea and improve their endurance to exercise.There is no consensus on whether respiratory rehabilitation should be carried out as soon as possible.This paper focuses on the definition of respiratory rehabilitation,and the research and debate on acute respiratory rehabilitation,rehabilitation programs and problems needing attention were studied in order to provide reference for implementing correct and standardized rehabilitation programs for patients suffering acute exacerbation of COPD.

关 键 词：早期康复 AECOPD 新进展 

分 类 号：R563.9[医药卫生—呼吸系统]