从慢性阻塞性肺疾病全球创议看指南更新与临床实践

Guidelines update and clinical practice:perspective from Global Initiative for Chronic Obstructive Lung Disease 2024

慢性阻塞性肺疾病全球创议(GOLD)的年度更新是认识慢性阻塞性肺疾病(慢阻肺)新进展的重要窗口,也是推进慢阻肺规范化管理的重要依据。本文将结合GOLD2024更新内容,着重就肺功能在慢阻肺和支气管哮喘鉴别诊断中的意义、慢阻肺的早期诊断问题,以及我国临床实践与指南的差距问题,谈一点个人看法。

The yearly update of Global Initiative for Chronic Obstructive Lung Disease(GOLD)provides us an important window to get to know the advances in chronic obstructive pulmonary disease(COPD)and gives us an vital basis for promoting standardized management of the disease.This editorial,from the perspective of GOLD update 2024,will discuss the value of lung function testing in the differential diagnosis of COPD and asthma,the early diagnosis of COPD,and the gap between clinical practice and guidelines.