慢性阻塞性肺疾病劳力性呼吸困难的发生机制和评估方法进展  

Pathogenesis and assessment of exertional dyspnea in chronic obstructive pulmonary disease

作　　者：冯云爱 李海潮[1] Feng Yun′ai;Li Haichao(Department of Respiratory and Critical Care Medicine,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院呼吸与危重症医学科,北京100034

出　　处：《中华结核和呼吸杂志》2023年第11期1136-1140,共5页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：慢性阻塞性肺疾病是常见的呼吸系统疾病,严重影响患者的生活质量,病死率高。劳力性呼吸困难是慢性阻塞性肺疾病患者最常见的症状,发生机制复杂,药物治疗作用有限。本文对相关机制和评估方法进行综述,以期提高临床医生对慢性阻塞性肺疾病患者劳力性呼吸困难发生机制的认识,强调对其进行准确评价的重要性,探索可以有效改善患者呼吸困难程度,乃至延缓或逆转肺功能下降的有效干预措施。Chronic obstructive pulmonary disease(COPD)is a common respiratory system disease that seriously affects the quality of life and has a high mortality rate.Exertional dyspnea is the most common symptom in COPD patients with complexed pathogenesis and limited therapeutic drug effects.In this paper,we reviewed the relevant mechanisms and assessment,in order to improve understanding of the pathogenesis of exertional dyspnea in COPD,to emphasize the importance of accurate assessment,and to explore effective interventions that can effectively improve the degree of dyspnea and even delay or reverse the decline in lung function.

关 键 词：劳力性呼吸困难 慢性阻塞性肺疾病 呼吸困难程度 临床医生 呼吸系统疾病 药物治疗作用 肺功能下降 评估方法 

分 类 号：R563.9[医药卫生—呼吸系统]