吸入疗法在呼吸康复中应用的中国专家共识  

Expert consensus on the application of inhalation therapy in pulmonary rehabilitation in China

作　　者：中国老年医学会呼吸病学分会 中国康复医疗机构联盟呼吸康复专业委员会 童朝晖[2] 席家宁[3] 林英翔[2] 姜宏英 Chinese Geriatrics Thoracic Society;Committee of Pulmonary Rehabilitation of China Rehabilitation Hospital Association;Tong Zhaohui;Xi jianing(不详;Department of Respiratory and Critical Care Medicine,Beijing Institute of Respiratory Medicine and Bejing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Pulmonary and Critical Care Medicine,Beijing Rehabilitation Hospital,Capital Medical University,Bejing 100144,China)

机构地区：[1]不详 [2]首都医科大学附属北京朝阳医院-北京市呼吸疾病研究所呼吸与危重症医学科,北京100020 [3]首都医科大学附属北京康复医院呼吸与危重症医学科,北京100144

出　　处：《中华结核和呼吸杂志》2022年第8期753-761,共9页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：呼吸康复作为疾病管理的重要组成,已证实在慢性呼吸系统疾病及其他各类存在呼吸功能障碍的患者中可延缓疾病进展、减轻症状、提高运动耐量、改善生活质量。由于呼吸功能障碍患者的疾病特点,其在呼吸康复中普遍存在运动耐量减低以及气道黏液清除障碍等问题。吸入疗法在呼吸系统疾病治疗中具有独特而重要的地位,与呼吸康复相辅相成,互相促进。合理应用吸入疗法可有效预防和治疗呼吸康复中的运动耐量减低、提高气道廓清效果;而呼吸康复技术亦有助于提升吸气肌力量、改善患者自我管理水平等,从而提高吸入疗法的安全性和有效性。但因临床医学、康复医学学科知识体系不同,临床应用仍存在问题。为推动两者有机融合,中国老年医学会呼吸病学分会、中国康复医疗机构联盟组织呼吸病学、康复学相关专家共同制订了《吸入疗法在呼吸康复中应用的中国专家共识》,旨在更好地指导临床实践。As an important component of disease management,pulmonary rehabilitation delays disease progression,alleviates symptoms,improves exercise tolerance and quality of life(QOL)in patients with chronic respiratory diseases(CRDs)and other types of respiratory dysfunction.Due to the disease characteristics of patients with respiratory dysfunction,patients generally have problems such as reduced exercise tolerance and impaired airway mucus clearance capability during pulmonary rehabilitation.Inhalation therapy has a unique and significant role in the treatment of respiratory diseases,complementing and promoting each other with pulmonary rehabilitation.Rational application of inhalation therapy can effectively prevent and treat the loss of exercise tolerance and improve the effect of airway clearance in pulmonary rehabilitation,while pulmonary rehabilitation techniques can help to improve the strength of inspiratory muscles,patient self-management,and improve the safety and effectiveness of inhalation therapy.However,there are still difficulties in clinical application due to different knowledge systems of clinical medicine and rehabilitation medicine.In order to further promote the discipline integration and better guide clinical practice,the Respiratory Branch of the Chinese Geriatrics Society(CGS)and the China Rehabilitation Hospital Association(CRHA)organized respiratory and rehabilitation experts to jointly formulate the Chinese expert consensus on the application of inhalation therapy in pulmonary rehabilitation.

关 键 词：吸入疗法 呼吸功能障碍 呼吸康复 运动耐量 康复医学 疾病特点 呼吸病学 康复学 

分 类 号：R56[医药卫生—呼吸系统]