无创通气作为运动训练的附加工具。

IF 2.3
Multidisciplinary Respiratory Medicine Pub Date : 2015-04-09 eCollection Date: 2015-01-01 DOI:10.1186/s40248-015-0008-1
Nicolino Ambrosino, Paolo Cigni
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引用次数: 28

摘要

最近,人们对使用无创通气(NIV)来增加运动能力的兴趣越来越大。在COPD患者中,运动时的NIV可减少呼吸困难并增加运动耐受性。不同形式的机械通气已被无创地用作增加COPD、心力衰竭和肺胸廓限制性疾病患者运动耐量的工具。吸气支持通过卸载通气肌肉提供症状性益处,而持续气道正压(CPAP)抵消COPD患者固有的呼气末正压。重度稳定期COPD患者在家进行夜间NIV和日间运动训练显示出一些益处。此外,有报道称,在长期通气支持下的慢性高碳酸血症性COPD中,步行时也可以使用NIV。尽管有这些结果,NIV作为肺部康复的常规组成部分的作用仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non invasive ventilation as an additional tool for exercise training.

Recently, there has been increasing interest in the use of non invasive ventilation (NIV) to increase exercise capacity. In individuals with COPD, NIV during exercise reduces dyspnoea and increases exercise tolerance. Different modalities of mechanical ventilation have been used non-invasively as a tool to increase exercise tolerance in COPD, heart failure and lung and thoracic restrictive diseases. Inspiratory support provides symptomatic benefit by unloading the ventilatory muscles, whereas Continuous Positive Airway Pressure (CPAP) counterbalances the intrinsic positive end-expiratory pressure in COPD patients. Severe stable COPD patients undergoing home nocturnal NIV and daytime exercise training showed some benefits. Furthermore, it has been reported that in chronic hypercapnic COPD under long-term ventilatory support, NIV can also be administered during walking. Despite these results, the role of NIV as a routine component of pulmonary rehabilitation is still to be defined.

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来源期刊
Multidisciplinary Respiratory Medicine
Multidisciplinary Respiratory Medicine Medicine-Pulmonary and Respiratory Medicine
自引率
0.00%
发文量
23
期刊介绍: Multidisciplinary Respiratory Medicine is the official journal of the Italian Respiratory Society - Società Italiana di Pneumologia (IRS/SIP). The journal publishes on all aspects of respiratory medicine and related fields, with a particular focus on interdisciplinary and translational research. The interdisciplinary nature of the journal provides a unique opportunity for researchers, clinicians and healthcare professionals across specialties to collaborate and exchange information. The journal provides a high visibility platform for the publication and dissemination of top quality original scientific articles, reviews and important position papers documenting clinical and experimental advances.
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