纤维化性间质性肺疾病患者的肺康复策略

Pulmonary rehabilitation in patients with fibrotic interstitial lung disease

纤维化性间质性肺疾病(简称肺纤维化)的主要特点为咳嗽、进行性劳力性呼吸困难、运动能力受限,病情常呈进行性发展,带来了较为沉重的疾病和社会经济负担。除药物治疗外,肺康复是肺纤维化患者综合治疗的重要组成部分,已引起临床医护人员及社会的高度重视;同时,肺康复因利于改善患者症状、提高活动耐量和生活质量等益处,在广大患者中被广泛应用。本文对肺纤维化患者肺康复的研究进展进行阐述,并提出了针对肺纤维化患者肺康复的原则及策略,以协助预防肺纤维化的进展或急性加重,并进一步优化肺康复在肺纤维化中的应用。

Cough,progressive exertional dyspnea,and exercise limitation are the main presenting symptoms in fibrotic interstitial lung disease(F-ILD).F-ILD is usually progressive,leading to heavy disease and socioeconomic burden.In addition to the drug therapy,pulmonary rehabilitation is an important part of comprehensive treatment in F-ILD patients.In recent years,the application of pulmonary rehabilitation in F-ILD patients has attracted the attention of clinicians and society.Meanwhile,pulmonary rehabilitation has widely applicated in F-ILD patients as it is beneficial to improve their symptoms,functional exercise and quality of life.This article provides a comprehensive review of pulmonary rehabilitation in F-ILD and proposes the principles and strategies,to prevent the progression or acute exacerbation of F-ILD and improve its application in F-ILD patients.