TY - JOUR T1 - COPD患者的运动训练:摩根富林明的基本问题——欧洲呼吸杂志》乔欧元和J SP - 2884 LP - 2891 - 10.1183 / 09031936.97.10122884六世- 10 - 12盟Gosselink R盟——Troosters T非盟- Decramer M Y1 - 1997/12/01 UR - //www.qdcxjkg.com/content/10/12/2884.abstract N2 -肺康复计划旨在提高运动能力、日常生活活动,生活质量和生存在慢性阻塞性肺疾病(COPD)患者。最近，精心设计的研究调查并证实了综合肺部康复方案的有效性，包括运动训练、呼吸练习、最佳医疗、心理支持和健康教育。在目前的概述中，运动训练在临床实践中对肺康复的示范效果的贡献通过六个基本问题进行了讨论。其中包括:1)运动训练的意义;2)运动训练的最佳强度;3)规定培训方式;4)运动训练与药物、营养或吸氧相结合的效果;5)如何保持培训效果;6)康复计划应该在哪里实施:住院、门诊还是家庭护理? First, exercise training has been proven to be an essential component of pulmonary rehabilitation. Training intensity is of key importance. High-intensity training (>70% maximal workload) is feasible even in patients with more advanced COPD. In addition, the effects on peripheral muscle function and ventilatory adaptations are superior to low-intensity training. There is, however, no consensus on the optimal training modalities. Both walking and cycling improved exercise performance. Since peripheral muscle function has been recognized as an important contributor to exercise performance, specific peripheral muscle training recently gained interest. Improved submaximal exercise performance and increased quality of life were found after muscle training. The optimal training regimen (strength or endurance) and the muscle groups to be trained, remain to be determined. Training of respiratory muscles is recommended in patients with ventilatory limitation during exercise. The additional effects of anabolic-androgenic drugs, oxygen and nutrition are not well-established in COPD patients and need further research. In order to maintain training effects, close attention of the rehabilitation team is required. The continuous training frequency necessary to maintain training effects remains to be defined. At this point in time, out-patient-based programmes show the best results and guarantee the best supervision and a multidisciplinary approach. Future research should focus on the role of homecare programmes to maintain improvements. ER -