除了COPD以外的疾病的肺部康复
Katherine E Menson1, Leona Dowman
1Author Affiliations: Division of Pulmonary and Critical Care Medicine, University of Vermont, Burlington, Vermont (Dr Menson); and Respiratory Care Group, Monash University, Melbourne, Victoria, Australia (Dr Dowman).
Journal of cardiopulmonary rehabilitation and prevention
|October 10, 2024
概括
肺部康复 (PR) 在COPD以外的各种肺部疾病中提供了显著的好处,改善了运动能力和生活质量. 证据支持PR用于间歇性肺病,喘,长期COVID,支气管切除症,肺高血压和肺癌患者.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 临床证据综合研究
背景情况:
- 肺部康复 (PR) 是慢性阻塞性肺病 (COPD) 的基石疗法.
- 关于非COPD呼吸道疾病的PR疗效的综合研究有限.
- 了解PR对各种肺部疾病的影响对于扩大其应用至关重要.
研究的目的:
- 审查关于非COPD诊断肺部康复的当前文献.
- 根据特定疾病表现来评估预期结果的证据.
- 为了确定PR的好处和局限性,在整个肺部疾病的频谱.
主要方法:
- 在PubMed数据库的系统文献搜索 (2024年3月至6月).
- 关键词包括"肺部康复"",运动训练"和特定的肺部疾病 (ILD,喘,PASC,支气管病,PH,肺癌).
- 过英语语言RCT,临床试验,观察性研究,元分析和指南,优先考虑最近的出版物.
主要成果:
- 间歇性肺病 (ILD) 患者在运动能力,HRQoL和呼吸障碍方面显著改善,与COPD相比.
- 喘患者受益,特别是患有严重疾病或并发症的人;呼吸练习可以改善喘息.
- SARS-CoV-2 (PASC) /长期COVID患者的急性后续症状显示功能状态等级得分有所改善;HRQoL的益处不太清楚.
结论:
- 肺部康复在一系列非COPD肺部疾病中显示出显著的益处,包括ILD,喘,PASC,支气管病变,PH和肺癌.
- 结果因疾病的严重程度和表现而异,较轻的ILD显示持续的益处.
- PR改善了运动能力,生活质量,并减少了特定患者群体的并发症.
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