我们从COPD的大型药物治疗试验中学到什么?
Peter M A Calverley1, Stephen I Rennard
1Division of Infection and Immunity, Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK. pmacal@liverpool.ac.uk
Lancet (London, England)
|September 4, 2007
概括
临床试验表明,慢性阻塞性肺病 (COPD) 的治疗方法通过增加肺体积来提高运动表现. 未来的研究应该专注于高标准的客观研究,以推进COPD的管理和理解.
科学领域:
- 肺部医学 肺部医学
- 临床研究 临床研究
背景情况:
- 慢性阻塞性肺病 (COPD) 治疗的发展有所增加,尽管不是一个高优先级.
- 大规模的临床研究对于评估COPD治疗的有效性至关重要,因为疾病的慢性和间歇性恶化.
研究的目的:
- 审查目前COPD治疗临床研究的现状.
- 突出严格的试验设计和COPD研究结果的重要性.
主要方法:
- 来自随机对照试验 (RCT) 的数据分析,检查COPD治疗方法.
- 评估COPD临床试验中既定和新出现的结果措施.
主要成果:
- 慢性肺炎治疗主要通过增加肺体积而不是呼吸流量来改善运动表现.
- 现在,健康状况,恶化的频率和住院被认为是治疗的关键结果,除了肺功能.
结论:
- 风险试验为COPD治疗疗效提供了最有力的证据,但在设计和患者参与方面存在变化.
- 支气管扩展剂可逆性测试不是一种可靠的方法来识别对特定治疗有反应的患者子组.
- 高质量,充足的临床试验对于促进COPD的理解和管理至关重要.
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