连接组织疾病相关的间歇性肺病中的肺康复:系统性审查
Irem Seleoglu1, Aynur Demirel1
1Department of Cardiopulmonary Rehabilitation, Faculty of Physical Therapy and Rehabilitation, University of Hacettepe, Ankara, Türkiye.
概括
肺部康复 (PR) 显示了改善肺功能,改善生活质量和减少连接组织疾病相关的间歇性肺病 (CTD-ILD) 中呼吸障碍的适度证据. PR可能有利于CTD-ILD患者,但其使用并不普遍.
科学领域:
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
- 关键护理医学 关键护理医学
背景情况:
- 间歇性肺病 (ILD) 在慢性肺病中对死亡率有显著的贡献.
- 连接组织疾病 (CTD) 是ILD (CTD-ILD) 的一个显著原因.
- 专家意见表明,CTD-ILD患者可能有稳定的疾病,不需要常规治疗,肺部康复 (PR) 有潜在的益处.
研究的目的:
- 系统地审查有关肺部康复 (PR) 的使用和有效性的文献,这些文献涉及连接组织疾病相关的间歇性肺病 (CTD-ILD) 的患者.
- 评估接受PR的CTD-ILD患者的临床结果和疾病稳定性.
主要方法:
- 在六个数据库中使用人工智能驱动的工具进行了系统的文献审查.
- 评估了包含的研究的方法质量,偏差风险和证据水平.
主要成果:
- 在CTD-ILD患者中,PR显示了改善肺功能,扩散能力,功能能力,生活质量,呼吸障碍严重程度和疲劳的适度证据.
- 关于PR对该人口呼吸道和外周肌肉强度的影响的证据有限.
- 发现在CTD-ILD病例中使用PR在文献中并不普遍.
结论:
- 肺部康复 (PR) 显示出改善结合组织疾病相关的间歇性肺病 (CTD-ILD) 的临床参数的前景,包括肺功能,生活质量和症状严重程度.
- 尽管有潜在的益处,但PR在CTD-ILD患者中并未得到广泛采用.
- 需要进行进一步的综合性研究,以建立在CTD-ILD管理中PR的强有力的证据基础.
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