肺康复的发展现状与展望

Development of pulmonary rehabilitation and future prospect

肺康复是针对慢性呼吸疾病患者身心健康的综合措施,其在慢性阻塞性肺疾病(慢阻肺)防治领域中的作用已获认可。我国有近1亿慢阻肺患者,疾病负担大,肺康复本土化是其中一项关键健康对策。且对其他慢性呼吸系统疾病和胸科术后患者,肺康复也需累积更多的循证依据。目前临床工作者、患者及政策制定者对肺康复的重视不足,有待大范围规范化技能培训和全民科普推广。该文从肺康复定义述起,对其受众人群、执行情况、执行场所及在我国的现状进行了总结与评价,以期临床、科研人员及政策制定者更了解肺康复,同时对未来可能的临床与科研方向给出建议。

Pulmonary rehabilitation(PR) is a comprehensive intervention to the chronic respiratory diseases,that its benefits in chronic obstructive pulmonary disease(COPD) have been well established.Localization of PR in China is one of the key health strategies as there are nearly 100 million patients with COPD which causes huge disease burden.In addition,the evidence of PR for patients with other chronic respiratory diseases and post-thoracic surgery should be accumulated too.Now clinician,patients,and policy makers have few recognition of PR,which needs large-scaled standardized training and popularizing.This article starts with the definition of PR,reviews its population,implementation,settings,as well as the current situation of PR in our country in order to make clinicians,researchers,and policy makers have better understanding of PR and to make some suggestions on direction of the future research and clinical work.