COVID-19患者呼吸康复:问题现状

K. V. Petrov, E. Mozheyko, A. Petrov, I. Demko
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摘要

目的:总结新型冠状病毒感染患者呼吸康复的文献资料;评估当前的状态和前景。要点。新型冠状病毒感染(COVID-19)是一种高度传染性的急性呼吸道疾病,主要累及上呼吸道和下呼吸道以及身体的器官和系统。该病的症状各不相同,从无症状携带者到临床严重的病毒性肺炎,需要氧气治疗和呼吸支持。呼吸康复对病人的康复至关重要。在全球范围内,关于COVID-19患者呼吸康复的专业信息和数据库越来越多,因为呼吸道疾病后的常见康复方法可能无效或不安全。结论。呼吸康复应成为新冠肺炎治疗的重要组成部分,一旦患者病情稳定,应从ICU开始。康复应该是个性化的。未来的研究将有助于了解肺康复的发展路径,以提高患者的生活质量,促进更快的活动恢复。关键词:康复,呼吸康复,冠状病毒感染,COVID-19,呼吸练习
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Respiratory Rehabilitation of COVID-19 Patients: Current State of the Problem
Objective of the Review: To summarise the data from literature sources on respiratory rehabilitation of patients with the novel coronavirus infection; to assess the current state and perspectives. Key Points. The novel coronavirus infection (COVID-19) is a highly contagious acute respiratory disease with primary involvement of upper and lower respiratory tract, organs and systems of the body. The symptoms of the disease vary from asymptomatic carrier to clinically severe viral pneumonia that requires oxygen therapy and respiratory support. Respiratory rehabilitation is vital for patient recovery. Globally, there is more and more professional information and databases on respiratory rehabilitation of COVID-19 patients, since the common methods of rehabilitation after a respiratory disease can be ineffective or unsafe. Conclusion. Respiratory rehabilitation should be an integral part of COVID-19 therapy, starting from ICU once the patient’s condition has stabilised. Rehabilitation should be personalised. Future studies will help in understanding the development path of pulmonary rehabilitation in order to improve the quality of patients’ life and to facilitate faster activity restoration. Keywords: rehabilitation, respiratory rehabilitation, coronavirus infection, COVID-19, breathing exercises.
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