Dipartimento di Biomedicina e Medicina Specialistica, Sezione di Pneumologia, University of Palermo, Via Trabucco 180, Palermo 90146, Italy.
Clin Geriatr Med. 2017 Nov;33(4):597-603. doi: 10.1016/j.cger.2017.06.010. Epub 2017 Aug 2.
Comorbidities are common in elderly individuals with chronic respiratory diseases. They can affect disease manifestations and severity and can even impact management. Comorbidities can affect the treatment of the lung disease, particularly because of the interaction with the respiratory drugs. Thus, a multidimensional approach with multidisciplinary intervention is suggested for elderly respiratory patients, switching from a disease-oriented scheme to a dysfunction-oriented approach. Unfortunately, older individuals are often excluded from clinical trials because of advanced age and comorbidities. This article reviews the role of comorbidities in the management of respiratory diseases in the elderly.
慢性病在老年人群中很常见。它们会影响疾病的表现和严重程度，甚至会影响管理。合并症会影响肺部疾病的治疗，特别是由于与呼吸药物的相互作用。因此，建议对老年呼吸患者进行多维度的多学科干预，从以疾病为导向的方案转向以功能障碍为导向的方案。不幸的是，由于年龄较大和合并症，老年人往往被排除在临床试验之外。本文综述了合并症在老年呼吸系统疾病管理中的作用。
