慢性阻塞性肺疾病与肺胀

Chronic Obstructive Pulmonary Disease and Lung Distention

慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD,以下简称慢阻肺)和肺胀在定义、分期、症状和治疗等方面均有相通之处,中医和西医作为两种不同的医学体系,中医在整体调理、辨证施治等方面有显著优势,现代医学则在疾病发病机制及一些检查方法、治疗手段上有明显优势,经过中西医双诊双治的融合,必将更好的诊治。因此,在临床实践中,在立足中医的前提下,积极借鉴现代医学的相关知识,关注呼吸道症状的同时,亦关注无明显症状的高危人群,并积极探寻敏感性、特异性高的诊断指标,提高慢阻肺的早期诊断率,坚持辨病与辨证相结合的基本原则下辨证论治,探索出更加适合慢阻肺患者的个体化诊疗方案。

Chronic obstructive pulmonary disease ( COPD) and pulmonary distention have similarities in terms of disease definition, disease stage,disease integrity and lung rehabilitation. Although TCM and Western medicine are two different medical systems, TCM has significant advantages in overall conditioning,syndrome differentiation and treatment. Modern medicine has developed rapidly in the pathogenesis of diseases,some methods of examination and treatment. Therefore,it is necessary to integrate TCM with Western medicine. On the premise of syndrome differentiation and treatment of TCM,we should actively draw on the relevant knowledge of modern medicine,pay attention to respiratory symptoms,and at the same time pay attention to the high-risk groups without obvious symptoms. We should also actively explore the diagnostic indicators with high sensitivity and specificity,improve the early diagnostic rate of COPD,and explore more suitable individualized strategy of diagnosis and treatment for COPD in China.