Chronic Obstructive Pulmonary Disease in Elderly Patients

Chronic Obstructive Pulmonary Disease in Elderly Patients
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DOI:
10.1016/j.cger.2017.06.006
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发表时间:
2017-11-01
影响因子:
3.3
通讯作者:
Pinto-Plata, Victor
Pinto-Plata, Victor
中科院分区:
医学3区
文献类型:
--
作者:
Cortopassi, Felipe;Gurung, Puncho;Pinto-Plata, Victor

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慢性阻塞性肺疾病(COPD)是老年人群中的常见病,严重影响患者的生活质量、发病率和死亡率。诊断通常基于支持气流阻塞存在的症状和肺活量测定值。然而,这种情况经常被低估。COPD与过早衰老和其他几种可以部分解释其诊断和管理不足的疾病有关。有几种药物干预和非药物干预被证明在改善COPD症状方面是有效的。在COPD患者的治疗中,适当的药物输送和减少副作用也是关键。
Chronic obstructive pulmonary disease (COPD) is prevalent in the elderly population, with high impact on quality of life, morbidity, and mortality. The diagnosis is usually made based on symptoms and spirometry values that support the presence of airflow obstruction. However, the condition is frequently underdiagnosed. COPD is associated with premature aging and several other medical conditions that can partially explain its underdiagnosis and management. There are several pharmacologic and nonpharmacologic interventions proven to be effective in ameliorating the symptoms of COPD. Appropriate drug delivery and reduction of side effects is also pivotal in the management of patients with COPD.