摘要
慢性阻塞性肺疾病(慢阻肺)急性加重(AECOPD)是慢阻肺病程中的重要事件,其诊治和预防是疾病管理的重点。优化AECOPD围出院期管理将有助于提高治疗的连续性、预防短期内急性加重事件再发、改善长期预后。近年来,国内外针对AECOPD围出院期、出院集束化管理的循证医学证据不断增加,出院后早期随访和管理的获益证据不断涌现。本指南通过梳理循证医学证据提出推荐意见,旨在规范我国AECOPD患者围出院期管理和随访路径,适用于从事慢阻肺临床实践的医生和护理人员。
Acute exacerbations of chronic obstructive pulmonary disease(AECOPD)are important events in the course of chronic obstructive pulmonary disease(COPD),and its diagnosis,treatment and prevention are the focus of disease management.Optimizing the peri-discharge management of AECOPD will help to improve continuity of care,prevent recurrence of acute events in the short time,and improve long-term prognosis.In recent years,evidence on the peri-discharge period and the cluster management of AECOPD has accumulated,and confirming the benefit of early follow-up and management after discharge.By reviewing the available evidence,this guideline aims to standardize discharge management and follow-up pathways for AECOPD patients.This guideline is intended for physicians and nursing staff involved in the clinical practice of COPD.
作者
中华医学会呼吸病学分会
中华预防医学会呼吸病预防与控制专业委员会
中国医师协会呼吸医师分会
中国健康促进与教育协会县域呼吸专业委员会
杨汀
张静
陈燕
Chinese Thoracic Society;Respiratory Disease Prevention and Control Specialty Societies of Chinese Preventive Medicine Association;Chronic Obstructive Pulmonary Disease Committee of Chinese Association of Chest Physician;County Respiratory Professional Committee of China Association of Health Promotion and Education;Yang Ting;Zhang Jing;Chen Yan(不详;China-Japan Friendship Hospital,Beijing 100029,China;Zhongshan Hospital,Shanghai Medical College,Fudan University,Shanghai 200032,China;The Second Xiangya Hospital of Central South University,Changsha 410011,China)
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2024年第11期1048-1068,共21页
Chinese Journal of Tuberculosis and Respiratory Diseases
基金
中央高水平医院临床科研业务费资助(2024-NHLHCRF-JBGS-ZN-04, 2022-NHLHCRF-LX-01-0107)
中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-049)
国家自然科学基金重大项目(82090010)。