Itabashi Shigeru
Department of Respiratory Medicine, Shiogama City Hospital.
Nihon Rinsho. 2003 Dec;61(12):2150-7.
According to the guideline presented by Global Initiative for Chronic Obstructive Lung Disease(GOLD), the diagnosis of chronic obstructive pulmonary disease (COPD) has been simplified. COPD is diagnosed when FEV1(forced expiratory volume in one second)/FVC(forced vital capacity) is less than 70% (except Stage 0), and also the severity of disease is classified by FEV1. In this article, spirometry, a screening test for COPD, is explained at first, and then further examination to understand the pathophysiology of COPD is discussed. For management and following-up of COPD, both lung function test and arterial blood gas analysis are important.
根据慢性阻塞性肺疾病全球倡议(GOLD)提出的指南,慢性阻塞性肺疾病(COPD)的诊断已得到简化。当第一秒用力呼气容积(FEV1)/用力肺活量(FVC)小于70%时(0期除外),即可诊断为COPD,并且疾病的严重程度也根据FEV1进行分类。在本文中,首先解释了作为COPD筛查试验的肺量测定法,然后讨论了用于了解COPD病理生理学的进一步检查。对于COPD的管理和随访,肺功能测试和动脉血气分析都很重要。