This review provides a comprehensive summary of major advances in pulmonary rehabilitation (PR) research from October 2024 to September 2025. It focuses on four key domains: implementation status, expansion of disease spectrum, conceptual innovation, and technological development. Globally, PR coverage remains suboptimal, with pronounced socioeconomic disparities, poor program quality and low adherence. Evidence suggests that simplified equipment and shorter rehabilitation courses can maintain therapeutic efficacy while substantially improving accessibility. In terms of disease spectrum, PR is no longer confined to single chronic respiratory diseases but has expanded to include respiratory comorbidities. Its application timeline has advanced from post-treatment rehabilitation to early prevention. While the rapid growth of tele-rehabilitation has enhanced service reach, yet its limitations and the unique advantages of traditional center-based programs must be acknowledged. Technologically, emerging training modalities, psychological interventions, and digital intelligent systems have continually enriched rehabilitation strategies. Overall, PR is advancing towards a more precise, continuous, and universally accessible model of integrated respiratory care.
本综述全面总结了2024年10月至2025年9月期间呼吸康复研究领域的主要进展，重点关注实施现状、疾病谱系拓展、理念创新与技术发展4个关键领域。当前全球呼吸康复覆盖率仍不理想，存在显著的社会经济差异，且项目质量与患者依从性普遍不足。简化设备和缩短疗程可在保持疗效的同时显著提升服务可及性。在疾病谱系方面，呼吸康复的获益人群已从单一的呼吸系统疾病拓展至呼吸共病，干预时机也逐渐从治疗向早期预防前移。远程康复的快速发展提升了服务覆盖范围，但其局限性及传统中心康复的独特优势仍需重视。在技术层面，新兴训练模式、心理干预及数字化智能系统持续丰富了康复策略。总体而言，呼吸康复正朝着更精准、连续、普惠的整合式呼吸照护模式迈进。.