注重慢性阻塞性肺疾病患者的评估和肺康复治疗

Pay attention to the assessment and pulmonary rehabilitation of chronic obstructive pulmonary disease

慢性阻塞性肺疾病（慢阻肺）的评估贯穿整个诊断、治疗、预后的始终，评估方法多种多样。但在临床工作中，大多数医生仅使用肺功能或根据临床表现来指导药物的使用。因此，有必要对慢阻肺的评估方法进行总结，让临床工作者更加熟悉各种评估方法，并根据患者及医院条件选择适宜的措施，更加准确、个体化治疗慢阻肺患者。慢阻肺的肺康复为近年来国内外肺康复事业逐步兴起的一种慢阻肺治疗措施之一，在国内仍发展不平衡、普及面不广，康复治疗措施单一。对于医务人员来说，普及肺康复知识、建立完善的康复治疗方案仍然任重而道远。只有积极宣传、不断强化及一一实践才能让更多的慢阻肺患者获益，才能让患者拥有更高的生活质量。

The assessment runs through the diagnosis, treatment and prognosis of chronic obstructive pulmonary disease （COPD）. Though there are various methods of assessments, many physicians diagnose patients and prescribe medicine homogeneously according to the lung function or clinical manifestations. Therefore, it is necessary to summarize the measurements of COPD, making it be better known to clinic physicians. On the basis of these measurements, physicians can choose the suitable therapeutic schemes to treat COPD patients. In recent years, pulmonary rehabilitation is growing up gradually, which is one of treatment methods for COPD. To popularize knowledge and form complete treatments of pulmonary rehabilitation is still a long way to go, because of unbalanced development, unpopular and monother- apy in China. In order to benefit patients and improve the patients＇life quality, we need to promote actively, intensify constantly and practice the pulmonary rehabilitation one by one.