Lange Peter
Afdeling for Social Medicin, Institut for Folkesundhedsvidensskab, Københavns Universitet Hvidovre Hospital, Øster Farigmagsgade 5, 1014 København K, Denmark.
Ugeskr Laeger. 2013 Apr 15;175(16):1105-8.
The new version of the GOLD document on chronic obstructive pulmonary disease (COPD), introduces a profound change in the stratification of the patients. In addition to the level of forced expiratory volume in the first second (FEV1), the new stratification also includes the level of daily symptoms, in particular dyspnoea, and the history of exacerbations. This review describes this stratification and the treatment of stable COPD according to the GOLD document. It focuses on early diagnosis, smoking cessation, rehabilitation and medical treatment.
慢性阻塞性肺疾病(COPD)的新版全球慢性阻塞性肺疾病倡议(GOLD)文件在患者分层方面引入了深刻变革。除第一秒用力呼气容积(FEV1)水平外,新的分层还纳入了日常症状水平,尤其是呼吸困难,以及急性加重病史。本综述根据GOLD文件描述了这一分层及稳定期COPD的治疗。它着重于早期诊断、戒烟、康复和药物治疗。