慢性阻塞性肺疾病患者生命质量评估的临床应用价值及改善措施

Clinical value of evaluating quality of life of patients with chronic obstructive pulmonary disease and improvement measures： a systematic review

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）具有高患病率及高病死率的特点，很多研究表明COPD患者的生命质量已经受损，目前生命质量作为一项病情评判指标。而外界干预已经对生命质量的很多方面已经显示出积极的影响，例如吸入糖皮质激素、支气管扩张剂，吸氧，肺康复锻炼，施行疾病特异的自我管理计划，肺减容术等。本文综述了COPD患者生命质量评估在临床中的应用价值以及改善生命质量的措施。

Chronic obstructive pulmonary disease（COPD） remains a major cause of mortality and disability. An increasing number of studies now suggested that the quality of life（QOL） in patients with COPD have been damaged,and incorporated QOL as an outcome measure. Interventions that have shown a positive effect on some or all components of QOL, include inhaled corticosteroids, inhaled bronchodilators, oxygen therapy, pulmonary rehabilitation, implementation of a disease-specific self-management program, and lung volume reduction surgery. The purpose of the view is to assess the clinical value of evaluating the QOL of patients with COPD and the measures to improve it.