Pulmonary Department, Hospital Universitario Pedro Ernesto, State University of Rio de Janeiro, Avenida Vinte e oito de Setembro, 77, Segundo andar, Vila Isabel, Rio de Janeiro, Rio de Janeiro 20551-30, Brazil.
Pulmonary-Critical Care Medicine Division, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA.
Clin Geriatr Med. 2017 Nov;33(4):539-552. doi: 10.1016/j.cger.2017.06.006. Epub 2017 Aug 23.
Chronic obstructive pulmonary disease (COPD) is prevalent in the elderly population, with high impact on quality of life, morbidity, and mortality. The diagnosis is usually made based on symptoms and spirometry values that support the presence of airflow obstruction. However, the condition is frequently underdiagnosed. COPD is associated with premature aging and several other medical conditions that can partially explain its underdiagnosis and management. There are several pharmacologic and nonpharmacologic interventions proven to be effective in ameliorating the symptoms of COPD. Appropriate drug delivery and reduction of side effects is also pivotal in the management of patients with COPD.
慢性阻塞性肺疾病(COPD)在老年人群中较为普遍,对生活质量、发病率和死亡率都有很大影响。其诊断通常基于症状和支持气流阻塞存在的肺量测定值。但是,这种疾病常常被漏诊。COPD 与过早衰老和其他几种可能部分解释其漏诊和管理不当的疾病相关。有几种已被证明可有效改善 COPD 症状的药物和非药物干预措施。适当的药物输送和减少副作用对 COPD 患者的管理也至关重要。