慢性阻塞性肺疾病的综合评估
The comprehensive assessment of chronic obstructive pulmonary disease
慢性阻塞性肺疾病(慢阻肺)是一种严重危害人类健康的常见病、多发病,具有高致残率、病死率的特点,社会经济负担重,已成为一个重要的公共卫生问题.慢阻肺综合评估的目的是测定气流受限的水平,评价对患者健康状态的影响以及未来的危险因素.目前肺功能检查仍是诊断慢阻肺的金标准,但其不能全面反映疾病的临床特点及风险预估,在临床上还需要综合性的指标来评估疾病对患者健康状况的影响.对慢阻肺患者进行全面的综合评估有利于指导个体化治疗、改善当前症状、全面判断预后、延缓病情和提高患者的生存质量.
更多Chronic obstructive pulmonary disease (COPD) is a common and frequent disease that endangers human health seriously.It has the characteristics of high morbidity and mortality and heavy social-economic burden.It has become an important public health issue.The purpose of the comprehensive assessment of COPD is to determine the level of airflow restriction,assess the impact on the patient's health status and future risk factors.At present,the pulmonary function test is still the gold standard for diagnosing COPD.However,it can not fully reflect the clinical features and risk prediction of the disease.In clinical practice,comprehensive indexes are needed to evaluate the impact of the disease on the patient's health status.The comprehensive assessment for a COPD patient is conducive to the guidance of individualized treatment,to improve the current symptoms,comprehensive prognosis,delay the disease progression and improve the quality of life of patients.
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