Functional assessment of chronic obstructive pulmonary disease

Functional assessment of chronic obstructive pulmonary disease
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DOI:
10.1111/j.1745-7599.2011.00602.x
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发表时间:
2011-04
影响因子:
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通讯作者:
C. Downs
C. Downs
中科院分区:
--
文献类型:
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作者:
C. Downs

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目的:描述评估慢性阻塞性肺疾病(COPD)患者功能能力的有效方法。资料来源:广泛的文献综述被用来提供相关信息。结论:COPD疾病影响着数以百万计的美国人,令人身心痛苦。慢性阻塞性肺疾病的特点是不可逆转的气流受限和呼吸困难。在这一人群中,呼吸困难是运动能力和功能状态下降的主要原因。了解完成功能评估的方法对于所有关心这一群体的从业者来说很重要。实践启示:本文概述了目前用于评估功能状态的方法,包括肺功能测试、运动测试、拟人化和自我报告测量。此外,还讨论了运动试验在慢性阻塞性肺疾病中的适应症和禁忌症,以及进行全球功能综合的临床意义。披露作者未报告有任何利益冲突。要获得此活动的CE积分,请转到CE中心并点击。找到本文的清单并完成后期测试。按照说明打印您的CE证书。
Purpose: To describe available methods for assessing functional capacity in persons with chronic obstructive pulmonary disease (COPD). Data sources: An extensive literature review is used to provide pertinent information. Conclusions: COPD disease affects millions of Americans and is physically and psychologically distressing. The hallmark of chronic obstructive pulmonary disease is irreversible airflow limitation and dyspnea. Dyspnea is a major contributor to decreased exercise capacity and functional status in this population. Understanding the methods to complete a functional assessment is important for all practitioners caring for this population. Implications for practice: This paper provides an overview of current methods used to assess functional status, including pulmonary function testing, exercise testing, and anthropomorphic and self‐report measurements. In addition, there is discussion of the indications and contraindications for exercise testing in chronic obstructive pulmonary disease and the clinical significance of performing a global composite of functional ability. Disclosure The author reports no competing interests. To obtain CE credit for this activity, go to and click on the CE Center. Locate the listing for this article and complete the post‐test. Follow the instructions to print your CE certificate.