鉴于慢性阻塞性肺疾病(COPD)的气流受限特点是进行性发展,而且不能完全可逆,同时COPD带来沉重的社会经济负担,成为劳动力丧失和死亡的重要原因之一。因而近年来国外一些学者主张早期干预COPD,并且提出许多理由,诸如早期干预COPD可以减少症状,减少动态过度充气,改善肺功能,提高生命质量等。然而,必须看到COPD的早期干预是一项很艰难的系统工程,有许多问题需要大家认真思考和讨论,尤其是在我国这个问题尤为重要和复杂。故愿就我国COPD的早期干预问题谈一些不成熟的看法,以就正于同道。
Citation:
HE Quanying. Some issues on the early intervention of chronic obstructive pulmonary disease. Chinese Journal of Respiratory and Critical Care Medicine, 2007, 6(4): 243-244. doi:
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Global strategy for the diagnosis and prevention of COPD.http://www.goldcopd.org.
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中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版).中华结核和呼吸杂志,2007,30:8-17.
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冯怿霞,黄旭斌.慢阻肺病的早期干预问题.中国康复.2003,(04):229-230.
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何权瀛.社区医疗应当成为防治慢性呼吸疾病的主战场.中国社区医师,2006,22:7-8.
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Adams SG,Anzueto A,Briggs DD Jr,et al.Tiotropium in COPD patients not previously receiving maintenance respiratory medications.Respir Med,2006,100:1495-1503.
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Beeh KM,Beier J,Buhl R,et al.Efficacy of tiotropium bromide (Spiriva) in patients with chronic-obstructive pulmonary disease (COPD) of different severities.Pneumologie,2006,60:341-346.
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Dusser D,Bravo ML,Iacono P.The effect of tiotropium on exacerbations and airflow in patients with COPD.Eur Respir J,2006,27:547-555.
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Cooper CB.The connection between chronic obstructive pulmonary disease symptoms and hyperinflation and its impact on exercise and function.Am J Med,2006,119 (10 Suppl 1):21-31.
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Casaburi R,Kukafka D,Cooper CB,et al..Improvement in exercise tolerance with the combination of tiotropium and pulmonary rehabilitation in patients with COPD.Chest,2005,127:809-817.
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- 1. Global strategy for the diagnosis and prevention of COPD.http://www.goldcopd.org.
- 2. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版).中华结核和呼吸杂志,2007,30:8-17.
- 3. 冯怿霞,黄旭斌.慢阻肺病的早期干预问题.中国康复.2003,(04):229-230.
- 4. 何权瀛.社区医疗应当成为防治慢性呼吸疾病的主战场.中国社区医师,2006,22:7-8.
- 5. Adams SG,Anzueto A,Briggs DD Jr,et al.Tiotropium in COPD patients not previously receiving maintenance respiratory medications.Respir Med,2006,100:1495-1503.
- 6. Beeh KM,Beier J,Buhl R,et al.Efficacy of tiotropium bromide (Spiriva) in patients with chronic-obstructive pulmonary disease (COPD) of different severities.Pneumologie,2006,60:341-346.
- 7. Dusser D,Bravo ML,Iacono P.The effect of tiotropium on exacerbations and airflow in patients with COPD.Eur Respir J,2006,27:547-555.
- 8. Cooper CB.The connection between chronic obstructive pulmonary disease symptoms and hyperinflation and its impact on exercise and function.Am J Med,2006,119 (10 Suppl 1):21-31.
- 9. Casaburi R,Kukafka D,Cooper CB,et al..Improvement in exercise tolerance with the combination of tiotropium and pulmonary rehabilitation in patients with COPD.Chest,2005,127:809-817.