摘要
慢性阻塞性肺疾病(COPD)是临床内科较为常见和多发的疾病,直接影响患者的生活质量。若不能及时有效干预COPD,将直接威胁患者生命安全。肺康复是以COPD为主的慢性呼吸系统疾病的重要非药物治疗方法之一,在全面评估患者条件下,对患者实施个体化干预,可有效减少COPD患者呼吸困难症状,预防并发症发生,改善患者肺功能,增加运动功能等。本文将COPD康复治疗现状及进展做简要综述,其中包括心理干预(可以提高患者依从性,改善焦虑、抑郁情绪)、呼吸训练(可增加患者的呼吸肌力量,改善患者呼吸困难症状)、饮食调节(增强营养,多食用有利于润肠排便的食物,多吃蔬菜水果,促进胃肠道的蠕动,避免发生便秘)、长期氧疗(可明显减轻患者缺氧综合征的病症,降低血压,最终改善患者呼吸肌疲劳症)、无创正压通气、运动训练和中医康复等方法,以望对后期的COPD患者的康复治疗提供参考借鉴。
Chronic obstructive pulmonary disease(COPD)is a common and multiple disease in clinical medicine,which directly affects the quality of life of patients.If COPD cannot be effectively intervened in time,it will directly threaten the lives of patients.Pulmonary rehabilitation is one of the important non-drug treatments for chronic respiratory diseases with COPD.Under the condition of a comprehensive assessment of the patient,the implementation of individualized interventions on the patients can effectively reduce the symptoms of dyspnea in patients with COPD,prevent complications,improve the lung function of the patients,and increase motor function.This article now briefly reviews the status and progress of rehabilitation treatment for COPD,including psychological intervention(which can improve patient compliance,improve anxiety and depression),breathing training(which can increase the patient’s suction muscle strength and improve the patient’s dyspnea symptoms),diet regulation(to strengthen nutrition,eat more food which is conducive to runchang defecation,eat more vegetables and fruits,which can promote gastrointestinal peristalsis and avoid constipation),long-term oxygen therapy(which can significantly reduce the patient’s hypoxic syndrome,reduce blood pressure,and ultimately improve the patient’s respiratory muscles fatigue),non-invasive positive pressure ventilation,exercise training and traditional Chinese medicine rehabilitation,in order to provide reference for the rehabilitation of patients with COPD in the later period.
作者
邹林强
ZOU Lin-qiang(Department of Internal Medicine,Yixingbu Town Community Health Service Center,Beichen District,Tianjin,300402,China)
出处
《中国城乡企业卫生》
2021年第5期48-50,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
慢性阻塞性肺疾病
康复治疗
现状
进展
Chronic obstructive pulmonary disease
Rehabilitation treatment
Current situation
Progress
作者简介
通信作者:邹林强,本科,副主任医师,研究方向:社区慢性病的治疗与管理,E-mail:13001333527@163.com。
