Bellamy David, Bouchard Jacques, Henrichsen Svein, Johansson Gunnar, Langhammer Arnulf, Reid Jim, van Weel Chris, Buist Sonia
James Fisher Medical Centre, 4, Tolpuddle Gardens, Bournemouth, Hants BH9 3LQ, UK.
Prim Care Respir J. 2006 Feb;15(1):48-57. doi: 10.1016/j.pcrj.2005.11.003. Epub 2006 Jan 18.
COPD is a common and under-diagnosed disease which is increasing in prevalence worldwide. A more aggressive and optimistic approach must be adopted towards its management in primary care. This IPCRG Guideline on the management of COPD in primary care is fully consistent with GOLD guidelines. It highlights the goals of COPD treatment and the need for spirometric testing to make the diagnosis. It covers the classification of the disease according to disease severity, non-pharmacologic therapy including smoking cessation, avoidance of risk factors, patient education, pharmacologic therapy including the use of oxygen treatment, the management of exacerbations, the role of pulmonary rehabilitation, and the need for monitoring and ongoing care for COPD patients.
慢性阻塞性肺疾病（COPD）是一种常见且诊断不足的疾病，其在全球的患病率正在上升。在初级保健中，必须对其管理采取更积极和乐观的方法。这份初级保健中COPD管理的IPCRG指南与全球慢性阻塞性肺疾病倡议（GOLD）指南完全一致。它强调了COPD治疗的目标以及进行肺功能测试以做出诊断的必要性。它涵盖了根据疾病严重程度对疾病的分类、非药物治疗（包括戒烟、避免危险因素、患者教育）、药物治疗（包括使用氧疗）、急性加重的管理、肺康复的作用以及对COPD患者进行监测和持续护理的必要性。
