论文部分内容阅读
慢性阻塞性肺疾病(COPD)是一种常见的可预防的呼吸系统疾病，其特征为持续呼吸道症状和气流受限，主要表现为慢性咳嗽、咳痰、喘息。随着人口老龄化及环境污染的加重，老年COPD患者逐渐增多，与年轻个体相比，老年COPD患者急性加重更加频繁，且常合并多种基础疾病，即使经过积极药物治疗，治疗效果仍较差，因此在常规药物治疗的基础上需要更加系统的治疗方法。目前肺康复在COPD稳定期患者治疗中的积极作用已经得到证实，但在COPD急性加重期(AECOPD)的应用还存在争议，尤其对于老年AECOPD患者。本文就肺康复在老年AECOPD患者的应用进行综述。“,”Chronic obstructive pulmonary disease (COPD) is a common preventable disease characterized by persistent respiratory symptoms and airflow limitation, mainly manifested as chronic cough, expectoration and wheezing. With the aging of the population and the aggravation of environmental pollution, the number of elderly patients with COPD has gradually increased in recent years. Compared with young individuals, the acute exacerbation of elderly COPD patients is more frequent and often complicated with a variety of underlying diseases, even after active drug treatment, the therapeutic effect is still limited. More systematic treatment methods are needed on the basis of conventional drug therapy. The positive role of pulmonary rehabilitation in COPD patients who are in stable period has been confirmed, but in the acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients is controversial, especially in the elderly AECOPD patients. In this review, we summarized current studies of the application of pulmonary rehabilitation in elderly AECOPD patients.