Research Progress on Exercise Training in the Treatment of COPD

慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)是一种以持续性气流受限为特征的异质性疾病，其病理生理改变涉及气道重塑、肺实质破坏及全身炎症反应。运动康复训练作为非药物干预的核心手段，通过改善通气功能、增强骨骼肌代谢及调节免疫炎症通路，在延缓疾病进展、提高生活质量方面具有明确临床价值。本文综述了近年来运动训练治疗慢阻肺的研究进展，期望通过综合评估与个性化康复运动方案的实施，能够为慢阻肺患者提供更加精准有效的治疗策略，进一步揭示运动康复训练在慢阻肺管理中的重要作用，并期望为未来的临床实践与研究提供有益参考。Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease characterized by persistent airflow limitation with pathophysiological changes involving airway remodeling, parenchymal destruction, and systemic inflammatory responses. As the core means of non-drug intervention, exercise rehabilitation training has clear clinical value in delaying disease progression and improving quality of life by improving ventilation function, enhancing skeletal muscle metabolism and regulating immune and inflammatory pathways. This article reviews the research progress of exercise training in the treatment of COPD in recent years, and hopes to provide more accurate and effective treatment strategies for COPD patients through comprehensive evaluation and the implementation of personalized rehabilitation exercise programs, further reveal the important role of exercise rehabilitation training in COPD management, and provide useful references for future clinical practice and research.