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中国医药导刊 ›› 2019, Vol. 21 ›› Issue (12): 727-730.

• 临床医学 • 上一篇    下一篇

慢性阻塞性肺病早期干预研究现状

李怀东,李报春   

  1. 解放军第960医院泰安院区
  • 收稿日期:2020-02-07 修回日期:2019-12-17 出版日期:2019-12-31 发布日期:2019-12-31

Early Intervention of Chronic Obstructive Pulmonary Disease

LI Huaidong huaidongLI,libaochun baochunli   

  • Received:2020-02-07 Revised:2019-12-17 Online:2019-12-31 Published:2019-12-31
  • Contact: libaochun baochunli E-mail:libaochun88@163.com

摘要: 未确诊和诊断不足的早期慢性阻塞性肺疾病(慢阻肺)患者随着时间的推移逐渐加重。对早期慢阻肺应尽早启动治疗,以减慢疾病进展和改善健康相关生活质量。本文通过文献综述,总结慢阻肺早期干预的措施有戒烟、支气管扩张剂、肺康复等。戒烟可减缓早期或轻度慢阻肺的肺功能下降。长效支气管扩张剂(支扩剂)包括单支扩剂(LAMA),双支扩剂(LABA/LAMA)和长效支扩剂与吸入激素联合剂(LABA/ICS),都可减慢肺功能下降速度,减少急性加重、死亡率和改善生活质量。肺康复可改善症状、运动耐力,并降低慢阻肺急性加重的发病风险。对慢阻肺患者给予规范系统的“早期干预”,提高早期慢阻肺诊治的普及率,是慢阻肺防控的突破点。

Abstract: Undiagnosed early-stage chronic obstructive pulmonary disease (COPD) is likely to become more severe with time. Initiating treatment early in the course of COPD is likely to slow disease progression and improve health-related quality of life (HRQoL). Through literature review, this paper summarizes the early intervention measures for COPD include smoking cessation, bronchodilators and lung rehabilitation. Smoking cessation can reduce lung function decline at early or mild stage COPD. Long-acting bronchodilators, include LAMA, LABA/LAMA and LABA/ICS can slow the decline of lung function, as well as reduce exacerbation and mortality rates and improve HRQoL in patients with mild-to-moderate COPD. Pulmonary rehabilitation might improve symptoms and exercise tolerance, and reduces the risk of acute exacerbations of COPD. To give standardized and systematic “early intervention” to patients with COPD and to improve the popularizing rate of diagnosis and treatment of early COPD is the breakthrough point of prevention and control of COPD.

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