慢性阻塞性肺疾病合并症及管理  

Complications and management of chronic obstructive pulmonary disease

作　　者：宋竹翠 崔朝勃[1] SONG Zhucui;CUI Chaobo(Department of Respiratory Medicine,Harrison International Peace Hospital,Hebei,Hengshui 053000,China)

机构地区：[1]哈励逊国际和平医院呼吸内科,河北省衡水市053000

出　　处：《河北医药》2018年第23期3625-3629,共5页Hebei Medical Journal

摘　　要：慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是全球患病率和死亡率均较高的一种疾病。年龄和吸烟与疾病呈正相关性。COPD不仅损害肺脏,也可引起肺外不良效应,出现合并症。临床试验研究显示除患有多种合并症和高龄的COPD患者外可以给予常规治疗。在临床实践指南的推荐的单病种中未涉及合并症,但合并症可以影响COPD患者的治疗及预后。因此,需要对有合并症的COPD患者进行全面的管理和医疗干预,但这种全面的分析在全球尚未建立。全面的分析包括合并症在COPD严重程度分级中的负担。而且,对于所有疾病的药物和非药物管理还应该同时包括最佳干预措施和危险因素改变。所有健康护理专家在COPD管理方面应该与其他慢性疾病专业管理人员共同努力,为合并有多种疾病的COPD患者提供一种综合治疗方法。总之,我们关注的是影响COPD患者主要的合并症及其发病机制和危险因素,还有合理的治疗方法。The chronic obstructive pulmonary disease(COPD)is a kind of disease with higher prevalence and death rates in the world.Age and smoking are positively correlation with the disease.COPD can not only damage the lungs,but also can cause extrapulmonary adverse effects and complicatins.Clinical researches show that except fot the senile COPD patients and the COPD patients with many complications,the other COPD patients can be given routine therapy.The clinical practice guidelines recommended single diseases does not involve the complications,but complications can affect the treatment and prognosis of patients with COPD.Therefor the COPD patients with complications need for comprehensive management and medical intervention,but this kind of comprehensive analysis has not yet been extablished in the world.The comprehensive analysis includes the burden of complications in COPD severity classification.Moreover,the drug and non-drug management for all the diseases should include the best intervention measures and the changes of rik factors.All the health care experts in COPD management should work together with other chronic disease management professionals to provide a comprehensive treatment method for the COPD patients with many complications.In short we should pay much attention to the complications affecting COPD and its pathogenesis mechanism and risk factors as well as reasonable treatment methods.

关 键 词：慢性阻塞性肺疾病 管理 疗法 医疗保健费用 

分 类 号：R563[医药卫生—呼吸系统]