摘要

Research examining the clinical value of exercise testing and training in patients with chronic lung disease and pulmonary arterial hypertension (PAH) is less robust compared with cardiac populations but nevertheless highly supportive. Functional limitations are common in these patients, and exercise testing provides important information pertaining to the degree of this limitation, disease severity, and prognosis. Moreover, exercise testing, particularly in conjunction with ventilatory expired gas analysis, serves as a valuable diagnostic tool when the mechanism of the functional limitation and abnormal exertional symptoms is uncertain. Most work with respect to the benefits of exercise training has been performed in chronic obstructive lung disease cohorts and is used to support pulmonary rehabilitation. Emerging data indicate that exercise training is likewise beneficial in patients with interstitial lung disease and PAH. This review summarizes the evidence supporting the value of exercise testing and training and provides recommendations for clinical practice.

译文

研究检查慢性肺病和肺动脉高压 (PAH) 患者的运动测试和训练的临床价值与心脏人群相比不太可靠,但仍然高度支持。功能限制在这些患者中很常见,运动测试提供了关于这种限制程度、疾病严重程度和预后的重要信息。此外,当功能限制和异常运动症状的机制不确定时,运动测试,尤其是与换气过期气体分析相结合,是一种有价值的诊断工具。大多数关于运动训练益处的工作都是在慢性阻塞性肺病人群中进行的,并用于支持肺康复。新出现的数据表明,运动训练对患有间质性肺病和 PAH 的患者同样有益。这篇综述总结了支持运动测试和训练价值的证据,并为临床实践提供了建议。

Chronic lung disease

儿科 肺疾病 疾病
概述  :  

新生儿慢性肺疾病(CLD)主要发生于胎龄和出生体重相对较大(平均胎龄34周、出生体重2 200 g)的早产儿。感染、高浓度氧、高气道压的机械通气导致的肺损伤是其主要病因。半个世纪以来,由于围产医学的发展以及产前糖皮质激素和生后外源性肺表面活性物质(PS)的应用,CLD的表现形式已发生了很大变化,更为常见的是一种轻型CLD(又称为“新”CLD),患儿通常是出生体重<1 000 g,胎龄<26周的极不成熟早产儿,宫内感染、生后各种不利因素导致的肺泡和肺微血管发育受阻或停滞是其主要病因。病因BP

chronic 英 [ˈkrɒnɪk]  美 [ˈkrɑːnɪk]

释    义   adj. 慢性的;长期的;习惯性的

例    句   Most of them were chronically ill. 他们中大部分人都有慢性病。

 

lung

释    义   n. 肺;呼吸器

例    句   A smoker who died of lung cancer.一位死于肺癌的吸烟者

 

disease

释    义   n. 病,[医] 疾病;弊病

vt. 传染;使…有病

例    句   The rapid spread of disease in the area.疾病在这一地区的迅速传播。

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