尘肺病是一种长期、慢性的职业性呼吸系统疾病,给患者带来严重的身体伤害和生活负担,严重影响其生活质量。肺康复的兴起和推广为尘肺病患者引入了新的治疗途径。在康复治疗的实施之前,进行肺康复评估是至关重要的,它为康复训练提供了指导。本文通过对影像学评价、肺功能、运动功能、生存质量、心理等几个方面的综述,总结了近几年国际国内尘肺病研究的现状。在此基础上,本文提出了对当前肺康复评估发展的建议,旨在进一步完善尘肺病患者的康复管理。Occupational pneumoconiosis, characterized by chronic and prolonged respiratory system impairment, imposes substantial physical and socioeconomic burdens on affected individuals, significantly compromising their quality of life. The emergence and widespread adoption of pulmonary rehabilitation offer a novel therapeutic avenue for individuals afflicted with pneumoconiosis. Prior to the initiation of rehabilitation interventions, a comprehensive pulmonary rehabilitation assessment assumes paramount importance, serving as a guiding framework for rehabilitative training. This review provides an overview of recent international and domestic research on pneumoconiosis, encompassing imaging assessments, pulmonary function, exercise capacity, quality of life, and psychological aspects. Building upon this foundation, the present study puts forth recommendations for advancing the current landscape of pulmonary rehabilitation assessments, with the overarching aim of refining the rehabilitative management of pneumoconiosis patients.
神经病理性疼痛(NP)是一种由躯体感觉神经系统的病变或疾病引起的疼痛,在祖国医学中归类为“痛证”、“痹证”等范畴。尽管研究显示一些止痛类中药对改善神经病理性疼痛具有显著疗效,但在中医基础理论方面对其整体病机演变规律尚未得到广泛研究和共识。基于神经病理性疼痛的发病机制和临床特点,从“痰–瘀–虚”的角度探讨了神经病理性疼痛的发展演变过程,系统阐释了“痰–瘀–虚”的理论内涵以及与神经病理性疼痛之间的关系,深入了解其发病机制,并提出“祛痰通络,活血化瘀,补虚扶正”的中医药防治策略,为预防和治疗神经病理性疼痛提供了新的方向和思路。Neuropathic pain (NP) is a type of pain caused by lesions or diseases of the somatosensory nervous system, classified in traditional Chinese medicine as “pain syndrome” and “bi syndrome.” Although studies have shown significant therapeutic effects of certain analgesic traditional Chinese medicines in alleviating neuropathic pain, there is still limited research and consensus on the overall pathogenesis from the perspective of traditional Chinese medicine theory. Therefore, based on the pathogenesis and clinical characteristics of neuropathic pain, explores the developmental process of neuropathic pain from the perspective of the “phlegm-stasis-deficiency” theory. It systematically elucidates the theoretical implications of “phlegm-stasis-deficiency” and its relationship with neuropathic pain, providing a deeper understanding of its pathogenic mechanisms. The paper proposes a traditional Chinese medicine prevention and treatment strategy of “dispelling phlegm, promoting blood circulation, resolving stasis, nourishing deficiency, and strengthening the body,” offering new directions and insights for the prevention and treatment of neuropathic pain.
目的:探讨Rood疗法联合家庭肺康复对老年特发性肺纤维化(IPF)患者呼吸功能和活动能力的影响。方法:选取21例IPF患者,按照干预方法分为对照组和观察组,所有患者接受抗纤维化药物治疗和家庭肺康复训练,观察组额外接受Rood刺激疗法。评估两组患者在治疗前,治疗第12周和第24周的FEV1% pred、6MWT距离和SGRQ评分。结果:干预后,两组患者组内前后测FEV1% pred、6MWT和SGRQ评分均较治疗前有所改善。组间测试干预12周后,观察组的FEV1% pred与对照组相比有显著差异(P = 0.020),24周后差异更为显著(P = 0.004)。6MWT和SGRQ评分在组间后测中无明显差异。结论:Rood疗法联合家庭肺康复可有效提升IPF患者的肺通气能力,对提高有氧活动能力和生活质量具有积极作用,有助于延缓病情进展。 Objective: To explore the effects of Rood therapy combined with home pulmonary rehabilitation on respiratory function and activity capacity in elderly patients with idiopathic pulmonary fibrosis (IPF). Methods: Twenty-one IPF patients were retrospectively enrolled and stratified into control and observation groups based on therapeutic interventions. All patients received antifibrotic agents and home-based pulmonary rehabilitation therapy;the observation group additionally underwent Rood stimulation therapy. The forced expiratory volume in one second percentage predicted (FEV1% pred), 6-minute walk test (6MWT) distance, and St. George’s Respiratory Questionnaire (SGRQ) scores were assessed for both groups before treatment and at the 12 and 24 weeks post-treatment. Results: Post-intervention, both groups showed improvements in FEV1% pred, 6MWT, and SGRQ scores compared to pre-treatment. Between-group testing at 12 weeks post-intervention revealed a significant difference in FEV1% pred between the observation and control groups (P = 0.020), with an even more pronounced difference at 24 weeks (P = 0.004). No significant differences were observed in 6MWT and SGRQ sc
