제한성 폐질환 환자의 호흡재활

Abstract

The respiratory muscle dysfunction due to neuromuscular disease, cervical spinal cord injury or severe kyphoscoliosis is characterized by restrictive ventilator defect which show a decrease in lung volume. In the group of restrictive lung disease, hypoventilation due to reduced lung volume leads to hypercapnia. If respiratory dysfunction progresses and cannot be stopped, the eventual result is ventilatory failure. When this progression toward ventilatory failure is noted, careful follow up and monitoring of hypoventilation symptoms and pulmonary function are necessary to assess the need for ventilatory support to minimize complications and reduce mortality. Pulmonary rehabilitation, which applies non-invasive ventilation support along with various methods of clearing secretions in the airway, relieves respiratory symptoms and consequently contributes to extending life span as well as improving quality of life of patients with restrictive lung disease. Therefore, it is necessary to accurately identify the characteristics of restrictive lung diseases and access appropriate pulmonary rehabilitation based on them.