【摘要】 远程康复是呼吸康复的一种实施模式，是慢性阻塞性肺疾病的主要非药物干预措施。这篇综述综合了关于远程呼吸康复模式的证据，并阐述了其在实施过程中的挑战。目前比较远程康复与基于中心的呼吸康复的研究主要集中在对稳定的慢性阻塞性肺疾病患者的评估。结果表明，在运动能力、与健康相关的生活质量和症状改善方面两者基本相同，且远程康复的项目完成率更高。虽然远程康复可以降低交通负担、时间相对灵活、且不受地理位置限制，但在医疗互动的满意度以及提供初始患者评估和运动处方制订方面仍存在挑战。另外，需要对目前可用的和新兴的远程康复模式进行经济性和适用性评估，以确保其可纳入慢性阻塞性肺疾病患者的临床管理。更多还原

【Abstract】 Remote rehabilitation is an implementation mode of respiratory rehabilitation and the main non pharmacological intervention measure for chronic obstructive pulmonary disease. This review synthesizes current evidence on remote respiratory rehabilitation models and elucidates the challenges in their implementation. At present, research comparing remote rehabilitation with center based respiratory rehabilitation mainly focuses on the evaluation of stable patients with chronic obstructive pulmonary disease. The results indicate that the two are basically the same in terms of exercise ability, health-related quality of life, and symptom improvement, and the completion rate of remote rehabilitation projects is higher. Although remote rehabilitation can reduce transportation burden, be relatively flexible in time, and not limited by geographical location, there are still challenges in terms of satisfaction with medical interaction, providing initial patient assessment, and formulating exercise prescriptions. In addition, it is necessary to conduct an economic and applicability evaluation of currently available and emerging remote rehabilitation models to ensure their inclusion in the clinical management of patients with chronic obstructive pulmonary disease.更多还原