DOI: 10.1515/mr-2024-0006
The occurrence mechanism,assessment,and non-pharmacological treatment of dyspnea
Beiyao Gao1
Siyuan Wang1
Shan Jiang2
1.Department of Rehabilitation Medicine,China-Japan Friendship Hospital,Beijing,China2.Department of Rehabilitation Medicine,China-Japan Friendship Hospital,Beijing 100029,China
摘要:Dyspnea is a subjective sensation often described as a feeling of respiratory effort,tightness,or air hunger.The underlying mechanisms of this symptom are multifaceted and involve factors such as respiratory centers,cardiovas-cular system,airways,neuromuscular components,and metabolic factors,although not fully elucidated.The classical theory of imbalance between inspiratory neural drive(IND)and the simultaneous dynamic responses of the respiratory system posits that the disruption of a normal and harmo-nious relationship fundamentally shapes the expression of respiratory discomfort.Assessment and comprehensive treatment of dyspnea are crucial for patient rehabilitation,including subjective self-reporting and objective clinical measurements.Non-pharmacological interventions,such as pulmonary rehabilitation,fan therapy,exercise,chest wall vibration,virtual reality technology,traditional Chinese medicine(acupuncture and acupressure),and yoga,have shown promise in alleviating dyspnea symptoms.Addition-ally,oxygen therapy,has demonstrated short-term benefits for patients with pre-hospital respiratory distress and hyp-oxemia.This review provides a comprehensive overview of dyspnea,emphasizing the importance of a multifaceted approach for its assessment and management,with a focus on non-pharmacological interventions that contribute to enhanced patient outcomes and quality of life.
机标关键词:mechanismassessmentdyspneaoccurrencepharmacologicaltreatment
论文发表日期:2024-10-28
在线出版日期:2025-08-15(本平台首次上网日期,不代表文献的发表时间)
页数:18( 395-412 )
英文信息
