{"id":144783,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/rehabilitacion-pulmonar-en-la-epoc-seguimiento-evolutivo\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"rehabilitacion-pulmonar-en-la-epoc-seguimiento-evolutivo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/rehabilitacion-pulmonar-en-la-epoc-seguimiento-evolutivo\/","title":{"rendered":"Rehabilitacion pulmonar en la epoc : seguimiento evolutivo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ramon Coll Artes <\/strong><\/h2>\n<p>En nuestro medio existen escasos seguimientos a largo plazo de programas de rehabilitacion pulmonar multidisciplinarios (pap), para pacientes con enfermedad pulmonar obstructiva cronica (epoc). En 133 pacientes, efectos de epoc severa, se aplico un protocolo de estudio con el objetivo de obtener nuestra propia experiencia en la organizacion de un prp, y poder valorar, con la rehabilitacion, las posibles modificaciones de los parametros funcionales pulmonares. La edad media de la poblacion fue de 63 a\u00f1os, fevi 0,96 litros, pao02 60 mm hg y pac02 41 mm hg (respirando aire ambiente).  el tratamiento rehabilitador consistio en educacion, terapia fisica respiratoria (fisioterapia respiratoria y entrenamiento ventilatorio), ejercicio fisico y terapia ocupacional durante 8 semanas. Al inicio del programa se practico espirometria, gasometria arterial, determinacion de la fuerza de la musculatura ventilatoria (pim, pem), prueba del mcgavin de seis minutos de marcha (6 wt), secrecion bronquial (sb), valoracion subjetiva de la disnea (vas) y puntuacion para terapia ocupacional (to).  estas determinaciones se repitieron al finalizar el programa y a los 6 y 18 mesis siguientes. Hubo un 24% de abonados y la supervivencia fue del 85% al final del seguimiento. Los resultados mostraron beneficios estadisticamente significativos en parametros funcionales (fvc, fevi\/fvc, pa02, lwt,pim,pem, sb) y subjetivos inmediatos (vas,to). Se observo una perdida funcional moderada a las 24 y 72 semanas.  estos resultados son equiparables a los publicados en la literatura y demuestran que un programa de rehabilitacion pulmonar global, es util y factible de realizar, en una poblacion mediterranea de una area de poblacion urbana-industrial.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Rehabilitacion pulmonar en la epoc : seguimiento evolutivo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Rehabilitacion pulmonar en la epoc : seguimiento evolutivo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ramon Coll Artes <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Josep Morera Prat<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Ribas Mundo <\/li>\n<li>Enrique Domingo Ribas (vocal)<\/li>\n<li>Raimond Cornudella Mir (vocal)<\/li>\n<li>Mercedes Canela Cardona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ramon Coll Artes En nuestro medio existen escasos seguimientos a largo plazo de programas de rehabilitacion pulmonar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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