Zhou Aiyuan, Zhou Zijing, Zhao Yiyang, Chen Ping
Department of Respiratory Medicine, The Second Xiangya Hospital; Research Unit of Respiratory Disease; Diagnosis and Treatment Center of Respiratory Disease, Central South University, Changsha, Hunan, People's Republic of China.
Int J Chron Obstruct Pulmon Dis. 2017 Mar 27;12:1009-1018. doi: 10.2147/COPD.S128604. eCollection 2017.
Exacerbations of COPD are clinically relevant events with therapeutic and prognostic implications. Yet, significant heterogeneity of clinical presentation and disease progression exists within acute exacerbations of COPD (AECOPD). Currently, different phenotypes have been widely used to describe the characteristics among patients with AECOPD. This has proved to be significant in the treatment and prediction of the outcomes of the disease. In this review of published literature, the phenotypes of AECOPD were classified according to etiology, inflammatory biomarkers, clinical manifestation, comorbidity, the frequency of exacerbations, and so on. This review concentrates on advancements in the use of phenotypes of AECOPD.
慢性阻塞性肺疾病(COPD)急性加重是具有治疗和预后意义的临床相关事件。然而,COPD急性加重(AECOPD)患者的临床表现和疾病进展存在显著异质性。目前,不同的表型已被广泛用于描述AECOPD患者的特征。这在该疾病的治疗和结局预测中已被证明具有重要意义。在这篇已发表文献的综述中,AECOPD的表型根据病因、炎症生物标志物、临床表现、合并症、加重频率等进行了分类。本综述重点关注AECOPD表型应用方面的进展。