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慢性阻塞性肺疾病的历史视角:从过去到现在。

A Historical Perspective on Chronic Obstructive Pulmonary Disease: From Past to Present.

机构信息

Professor and Head.

Additional Professor.

出版信息

J Assoc Physicians India. 2023 Aug;71(8):11-12. doi: 10.59556/japi.71.0251.

Abstract

René-Théophile-Hyacinthe Laennec in his book "Treatise of the Diseases of the Chest" discussed the emphysema in 1821. Chronic obstructive pulmonary disease (COPD) has been around for at least 202 years, from 1821 to 2023 (but the disease itself is much older than that). It is believed that William Briscoe first used the term COPD in June 1965, at the 9th Aspen Emphysema Conference. COPD was first defined by the CIBA guest symposium in 1959 and the American Thoracic Society Committee on Diagnostic Standards in 1962; recent definition of COPD was released by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) report 2023. In 1990, it was sixth leading cause of death and in 2020 COPD becomes third leading cause of death. GOLD update 2023 also proposed taxonomy (etiotypes), classification of COPD based on risk factors, and ABE assessment tool for COPD. Now concept of early-COPD, pre-COPD, and, mild-COPD are also emerging, which are helpful in better understanding of COPD. Here, we have discussed historical landmarks, definition, burden, taxonomy, classification, different concept of disease, ABE assessment tool, personalized medicine, and brief description of GOLD and World COPD Day from past to present.

摘要

雷内-泰奥菲勒-海辛特·拉埃内克在他的著作《胸部疾病论》中于 1821 年讨论了肺气肿。慢性阻塞性肺疾病(COPD)至少已经存在 202 年了,从 1821 年到 2023 年(但这种疾病本身要古老得多)。据信,威廉·布里斯考于 1965 年 6 月在第 9 届阿斯彭肺气肿会议上首次使用了 COPD 一词。COPD 于 1959 年由 CIBA 特邀研讨会首次定义,并于 1962 年由美国胸科学会诊断标准委员会定义;最近的 COPD 定义由全球慢性阻塞性肺疾病倡议(GOLD)报告 2023 发布。1990 年,它是第六大死亡原因,而到 2020 年 COPD 成为第三大死亡原因。GOLD 更新 2023 还提出了分类学(etiotypes),基于危险因素的 COPD 分类,以及 COPD 的 ABE 评估工具。现在早期 COPD、预 COPD 和轻度 COPD 的概念也在出现,这有助于更好地理解 COPD。在这里,我们从过去到现在讨论了历史里程碑、定义、负担、分类学、分类、疾病的不同概念、ABE 评估工具、个性化医学以及 GOLD 和世界 COPD 日的简要描述。

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