Pulmonary Rehabilitation

被引：33

作者：

Gueell Rous, Maria Rosa ^{[1
]}

Diaz Lobato, Salvador ^{[2
]}

Rodriguez Trigo, Gema ^{[3
]}

Morante Velez, Fatima ^{[1
]}

San Miguel, Marta ^{[4
]}

Cejudo, Pilar ^{[5
]}

Ortega Ruiz, Francisco ^{[5
]}

Munoz, Alejandro ^{[6
]}

Galdiz Iturri, Juan Bautista ^{[7
]}

Garcia, Almudena ^{[8
]}

Servera, Emilio ^{[9
]}

机构：

[1] Hosp Santa Creu & Sant Pau, Serv Neumol, Barcelona, Spain

[2] Hosp Univ Ramon y Cajal, Serv Neumol, Madrid, Spain

[3] Univ Complutense, Fac Med, Hosp Clin San Carlos, Serv Neumol, E-28040 Madrid, Spain

[4] Univ San Jorge, Fac Ciencias Salud, Zaragoza, Spain

[5] Hosp Virgen del Rocio, Serv Neumol, CIBERES, IBIS, Seville, Spain

[6] Hosp Gen Univ Elda, Serv Neumol, Alicante, Spain

[7] Ciberes UPV EHU, Hosp Cruces, Serv Neumol, Bizkaia, Spain

[8] Hosp Univ Cent Asturias, Serv Neumol, Oviedo, Spain

[9] Hosp Clin Valencia, Serv Neumol, Valencia, Spain

来源：

ARCHIVOS DE BRONCONEUMOLOGIA | 2014年 / 50卷 / 08期

关键词：

Respiratory therapy; Muscle training; Chronic obstructive pulmonary disease; Diseases other than chronic obstructive pulmonary disease; Location and duration of the programs; Exacerbations; Maintenance; RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; RESPIRATORY SOCIETY STATEMENT; MINIMAL IMPORTANT DIFFERENCE; VOLUME-REDUCTION SURGERY; DAILY PHYSICAL-ACTIVITY; EXERCISE CAPACITY; AMBULATORY OXYGEN; NONINVASIVE VENTILATION; MALNOURISHED PATIENTS;

D O I：

10.1016/j.arbres.2014.02.014

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pulmonary rehabilitation (PR) has been shown to improve dyspnea, exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease (COPD). PR has also shown benefits in diseases other than COPD but the level of evidence is lower. The fundamental components of PR programs are muscle training, education and chest physiotherapy. Occupational therapy, psychosocial support and nutritional intervention should also be considered. Home programs have been shown to be as effective as hospital therapy. The duration of rehabilitation programs should not be less than 8 weeks or 20 sessions. Early initiation of PR, even during exacerbations, has proven safe and effective. The use of oxygen or noninvasive ventilation during training is controversial and dependent on the patient's situation. At present, the best strategy for maintaining the benefits of PR in the long term is unknown. Longer PR programs or telemedicine could play a key role in extending the results obtained. (C) 2013 SEPAR. Published by Elsevier Espana, S.L. All rights reserved.

引用

页码：332 / 344

页数：13

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