早期慢性阻塞性肺疾病的认识概况

Overview of Recognition to the Early Chronic Obstructive Pulmonary Disease

早期慢性阻塞性肺疾病(慢阻肺)一般是指轻或/和中度慢阻肺。肺功能损伤、持续呼吸道症状、肺气肿征象是诊断和分类早期慢阻肺的重要特征。本文通过文献综述,分析早期慢阻肺医患认知存在的问题:早期慢阻肺患者对自身疾病的认知程度低,临床医生对早期慢阻肺关注不够和认识不足,导致临床上普遍存在早期慢阻肺漏诊、诊断不足和延迟诊断的情况。早期慢阻肺具有症状以呼吸困难为著、体力活动受限和一秒率(FEV 1)降低等特点。充分认识早期慢阻肺的内涵及特点,是提高慢阻肺诊治的重要前提。

Early chronic obstructive pulmonary disease(COPD)generally refers to mild or/and moderate COPD.Lung function injury,persistent respiratory symptoms and emphysema are important features in the diagnosis and classification of early COPD.Through literature review,this paper analyzes the existing problems of doctor-patient cognition to early COPD:early COPD patients have low awareness of their own diseases,and clinicians do not pay enough attention to and understand the disease,leading to undiagnosis,delayed diagnosis and underdiagnosis of early COPD in clinic.Early COPD is characterized by dyspnea,limited physical activity,and reduced FEV 1.To fully understand the connotation and characteristics of early COPD is an important prerequisite to manage COPD.