https://scholars.lib.ntu.edu.tw/handle/123456789/511602
標題: | Nonpharmacological treatment for patients with nontuberculous mycobacterial lung disease | 作者: | Lan C.-C. Lai S.-R. JUNG-YIEN CHIEN |
關鍵字: | Airway clearance technique; Bronchiectasis; Nontuberculous mycobacterial lung disease; Nutrition; Pulmonary rehabilitation | 公開日期: | 2020 | 出版社: | Elsevier B.V. | 卷: | 119 | 起(迄)頁: | S42-S50 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Patients with nontuberculous mycobacterial lung disease (NTM-LD) often have significant exercise intolerance and poorer health-related quality of life (HRQL). The goals of treatment for NTM-LD should include reducing the severity of symptoms, improving HRQL, and reducing acute exacerbations. Nonpharmacological treatment, including pulmonary rehabilitation program and optimal nutritional strategy, should be one part of treatment for NTM-LD. A pulmonary rehabilitation (PR) program can comprise education, airway clearance techniques instruction, exercise training program, and inspiratory muscle training (IMT). Airway clearance techniques can improve the volume of sputum expectorated, cough symptom, breathlessness, and HRQL. Exercise training can improve exercise capacity and HRQL, and reduce acute exacerbations and dyspnea. Clinical benefits of IMT remain controversial but high-intensity IMT has been shown to be effective in increasing respiratory muscle strength with concurrent improvement of HRQL and exercise capacity. Body weight and muscle mass loss are common in patients with NTM-LD. An adequate protein and caloric diet combined with antioxidant nutrients might be the most appropriate dietary strategy. Comprehensive treatment for NTM-LD should include the combination of both pharmacological and nonpharmacological treatments. The management programs should be tailored to the individual's condition. ? 2020 Formosan Medical Association |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085745515&doi=10.1016%2fj.jfma.2020.05.013&partnerID=40&md5=c0c6d7483f938985626cccb328c22c8c https://scholars.lib.ntu.edu.tw/handle/123456789/511602 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2020.05.013 | SDG/關鍵字: | antibiotic agent; antioxidant; nutrition supplement; atypical mycobacteriosis; body weight; breathing muscle; caloric intake; coughing; diet therapy; dyspnea; education; exercise; human; inspiratory muscle training; lung clearance; lung infection; muscle mass; muscle strength; muscle training; postoperative care; protein diet; pulmonary rehabilitation; quality of life; Review; sputum; atypical mycobacteriosis; pneumonia; Dyspnea; Humans; Mycobacterium Infections, Nontuberculous; Pneumonia; Quality of Life; Sputum |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。