华西医学

华西医学

急/危重症早期呼吸康复研究进展

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呼吸康复是对慢性呼吸疾病患者,在进行细致的患者评估后,所采取的个体化治疗,包括(但不限于)运动训练、教育和行为改变等综合干预措施,以期改善其生理与心理状况,并促进长期健康增进行为,可以减轻慢性呼吸系统疾病患者呼吸困难症状,提高运动耐力,改善健康相关的生活质量,但是近期的一些随机对照研究对于急性加重期或重症监护病房中的危重症患者呼吸康复介入的时机、策略、效果都存在着较大的争议。如何在“动”与“静”中寻找一个平衡点,使患者最大程度地获益是我们需要探讨的问题。

Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies, which include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence of health-enhancing behaviors. It has been proven beneficial in reducing dyspnea and improving functional capacity and quality of life for patients with stable chronic respiratory disease. However, recent randomized clinical trials reported conflicting results on the timing of intervention, protocol and effectiveness of acute exacerbation or intensive care unit pulmonary rehabilitation to improve patient outcomes. We should find a balance between " dynamic” and " static” to maximize the benefit of patients from early pulmonary rehabilitation.

关键词: 呼吸康复; 急性加重; 危重症

Key words: Pulmonary rehabilitation; Acute exacerbation; Critical illness

引用本文: 赵红梅, 王辰. 急/危重症早期呼吸康复研究进展. 华西医学, 2019, 34(1): 1-6. doi: 10.7507/1002-0179.201901039 复制

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