COPD: the glass is half-full. Introduction.

COPD: the glass is half-full. Introduction.
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慢性阻塞性肺病:杯子是半满的。

DOI:
10.1016/s0954-6111(08)70002-7
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发表时间:
2008
影响因子:
4.3
通讯作者:
R. Zuwallack
R. Zuwallack
中科院分区:
医学3区
文献类型:
--
作者:
C. Donner;R. Zuwallack

文献摘要

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慢性阻塞性肺病并不像我们曾经认为的那样是一种简单的疾病。谢天谢地!因为如果FEV1仅仅是COPD评估的全部和最终目的,那么我们大多数的治疗干预都将是徒劳的。幸运的是,治疗这种疾病的临床医生有理由保持谨慎乐观。这反映在最新的ATS-ERS慢阻肺指南中,该指南将其视为可预防和可治疗的疾病,强调了可实现的疾病改变的那些方面。通过综合治疗,大多数患者均能获得临床意义上的改善。我们的责任是为我们的病人提供这种治疗。
COPD is not as straightforward a disease as we once thought is was. Thank goodness! For if the FEV1 were simply the be-all and end-all of COPD assessment, then most of our therapeutic interventions would be for naught. Fortunately, clinicians treating patients with this disease have reason for guarded optimism. This is reflected in the latest ATS-ERS COPD guidelines, which view it as apreventable and treatable disease,'1 emphasizing those aspects of disease modification which are achievable. And the majority of patients can have clinically meaningful improvement with comprehensive therapy. Our responsibility is to provide this therapy to our patients.