体育锻炼对改善慢性阻塞性肺病患者病情的作用(综述文章)

I. Demko, M. Mamaeva, N. Gordeeva, V. S. Alekseeva
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摘要

慢性阻塞性肺病(COPD)是导致死亡的第三大原因,约占总死亡人数的 6%,这证实了它的相关性,并使其成为全球医学界密切关注的主题。将体力活动(PA)纳入慢性阻塞性肺病患者的治疗方案,对维持他们的健康和提高生活质量起着关键作用。然而,尽管将体育锻炼纳入肺康复计划已成为一种常规方法,但目前仍存在一些问题,一方面是如何建立几种通用的康复措施形式,另一方面是如何实现个性化。本综述基于对相关出版物的分析,是使用以下关键词进行选择性文献检索的结果:慢性阻塞性肺病、生活质量、体育活动、肺康复。文章指出,作为慢性阻塞性肺病患者全面肺康复的主要组成部分之一,体育锻炼对患者的影响。还讨论了评估体力活动的工具、体力活动对疾病加重频率和死亡率的影响。介绍了证实体育锻炼作为肺康复的一部分的重要性和必要性的结果,以及进行肺康复的专家所面临的现代问题及其潜在的解决方案。
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The role of physical activity in improving the condition of patients with COPD (review article)
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death, accounting for approximately 6% of all deaths, confirming its relevance and making it a subject of close attention of the global medical community. The integration of physical activity (PA) into the regimen of patients with COPD plays a key role in maintaining their health and improving quality of life. However, despite the inclusion of PA in pulmonary rehabilitation programs having become a routine method, questions remain today about establishing several universal formats of rehabilitation measures on the one hand and personalization on the other. This review is based on the analysis of relevant publications obtained as a result of selective literature search using the following keywords: COPD, quality of life, physical activity, pulmonary rehabilitation. Articles indicating the effects of PA as one of the main components of comprehensive pulmonary rehabilitation in patients with COPD are considered. Tools for assessing PA, its impact on the frequency of disease exacerbations, and mortality are discussed. Results confirming the importance and necessity of physical exercises as part of pulmonary rehabilitation are presented, as well as modern problems faced by specialists conducting pulmonary rehabilitation and their potential solutions.
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