Patel Avani R, Patel Amar R, Singh Shivank, Singh Shantanu, Khawaja Imran
Internal Medicine, Northern California Kaiser Permanente, Fremont, USA.
Internal Medicine, Southern Medical University, Guangzhou, CHN.
Cureus. 2019 Jun 24;11(6):e4985. doi: 10.7759/cureus.4985.
Chronic obstructive pulmonary disease or COPD is one of the conditions that physicians frequently see in both the hospital and outpatient setting. In order to improve diagnostic and treatment outcomes, the Global Strategy for the Diagnosis, Management and Prevention of COPD, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) was created in 2001. Every year, a new report is generated based on an analysis of published studies which attempts to improve the way physicians handle COPD. GOLD reports are considered to be essential evidence-based reference tools for the implementation of effective management plans, and represent the current best practices for the care of patients with COPD. The 2017 report greatly revised the guidelines and added a few components that changed the system of COPD diagnosis and treatment. This review article addresses those changes, explains the current guidelines, and draws attention to areas that still require improvement.
慢性阻塞性肺疾病(COPD)是医生在医院和门诊环境中经常见到的病症之一。为了改善诊断和治疗效果,2001年制定了《慢性阻塞性肺疾病全球诊断、管理和预防策略》,即慢性阻塞性肺疾病全球倡议(GOLD)。每年都会根据对已发表研究的分析生成一份新报告,旨在改进医生处理COPD的方式。GOLD报告被认为是实施有效管理计划的重要循证参考工具,代表了当前COPD患者护理的最佳实践。2017年的报告对指南进行了大幅修订,并增加了一些改变COPD诊断和治疗体系的内容。这篇综述文章阐述了这些变化,解释了当前的指南,并提请注意仍需改进的领域。