Journal of Clinical PracticeJournal of Clinical PracticeКлиническая практика2220-30952618-8627Eco-Vector11174210.17816/clinpract111742ReviewsНаучные обзорыReview ArticlePulmonary rehabilitation of chronic pulmonary diseases (the review of clinical trials, national and international recommendations)Легочная реабилитация при хронических болезнях легких (обзор данных рандомизированных клинических исследований, национальных и международных рекомендаций)https://orcid.org/0000-0003-3138-3625112553X-9817-20184671-0084BilichenkoTatiana N.БиличенкоТатьяна Николаевна
Russian Federation

MD, PhD

д.м.н.

tbilichenko@yandex.ruhttp://www.researcherid.com/rid/X-9817-2018Federal Pulmonology Research InstituteНаучно-исследовательский институт пульмонологии Федерального медико-биологического агентстваMedical and rehabilitation center "Podmoskov'e"Лечебно-реабилитационный центр «Подмосковье»2610202213365780610202208102022Copyright ©; 2022, Bilichenko T.N.Copyright ©; 2022, Биличенко Т.Н.2022Bilichenko T.N.Биличенко Т.Н.https://creativecommons.org/licenses/by-nc-nd/4.0https://clinpractice.ru/clinpractice/article/view/111742

The review of data from randomized clinical trials, results of systematic reviews, international and national clinical recommendations on the problem of pulmonary rehabilitation in chronic pulmonary disease was carried out. This analysis of the studies included the databases eLibrary, Medline, PubMed and Cochrane libraries on the problem of pathophysiology and methods of physical rehabilitation of chronic pulmonary disease. The analysis took into account the opinions of expert groups of clinical recommendations developers of the Russian respiratory society, the European respiratory society, and the American thoracic society, presented in this review. The data of studies confirm the clinical effectiveness of physical rehabilitation methods for chronic pulmonary disease that take into account the unique needs of a complex patient. Pulmonary rehabilitation improves the physical activity, quality of life associated with health, reduces the incidence of exacerbations and mortality of patients with chronic pulmonary disease. Increasing the availability and improving pulmonary rehabilitation programs based on individual assessment of the patient's physical capabilities will increase the use of this method of treatment.

В обзоре изложены данные рандомизированных клинических исследований, систематических обзоров, международных и национальных клинических рекомендаций по проблеме легочной реабилитации при хронических болезнях легких. В анализ включены результаты исследований, вошедших в базы данных eLibrary, Medline, PubMed и библиотеки Cochrane, по проблеме патофизиологии, методов физической реабилитации при хронических болезнях легких. При анализе учитывались мнения представленных в обзоре экспертных групп разработчиков клинических рекомендаций: Российского респираторного общества, Европейского респираторного общества, Американского торакального общества. Данные исследований подтверждают клиническую эффективность методов физической реабилитации при хронической болезни легких, учитывающих уникальные потребности сложного пациента. Легочная реабилитация повышает физическую активность, качество жизни, связанное со здоровьем, снижает частоту обострений и смертность пациентов с хроническими болезнями легких. Повышение доступности и совершенствование программ легочной реабилитации с учетом индивидуальной оценки физических возможностей пациента увеличит использование этого метода лечения.

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