慢性阻塞性肺疾病急性加重围出院期管理与随访指南(2024年版)
Guidelines for peri-discharge management and follow-up of acute exacerbations of chronic obstructive pulmonary disease(2024 edition)
摘要慢性阻塞性肺疾病(慢阻肺)急性加重(AECOPD)是慢阻肺病程中的重要事件,其诊治和预防是疾病管理的重点。优化AECOPD围出院期管理将有助于提高治疗的连续性、预防短期内急性加重事件再发、改善长期预后。近年来,国内外针对AECOPD围出院期、出院集束化管理的循证医学证据不断增加,出院后早期随访和管理的获益证据不断涌现。本指南通过梳理循证医学证据提出推荐意见,旨在规范我国AECOPD患者围出院期管理和随访路径,适用于从事慢阻肺临床实践的医生和护理人员。
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abstractsAcute exacerbations of chronic obstructive pulmonary disease (AECOPD) are important events in the course of chronic obstructive pulmonary disease(COPD), and its diagnosis, treatment and prevention are the focus of disease management. Optimizing the peri-discharge management of AECOPD will help to improve continuity of care, prevent recurrence of acute events in the short time, and improve long-term prognosis. In recent years, evidence on the peri-discharge period and the cluster management of AECOPD has accumulated, and confirming the benefit of early follow-up and management after discharge. By reviewing the available evidence, this guideline aims to standardize discharge management and follow-up pathways for AECOPD patients. This guideline is intended for physicians and nursing staff involved in the clinical practice of COPD.
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