早期慢性阻塞性肺病:定义,评估和预防
Stephen I Rennard1, M Bradley Drummond2
1Department of Internal Medicine, University of Nebraska Medical Center, Nebraska Medical Center, Omaha, NE, USA.
Lancet (London, England)
|May 7, 2015
概括
慢性阻塞性肺病 (COPD) 是一种复杂,异质的疾病,是全球主要的死亡原因. 解决COPD的方法
科学领域:
- 肺部医学 肺部医学
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是一个重大的全球健康负担,在全球排名第三的死亡原因.
- 慢性肺炎不是一个单一的实体,而是一个复杂的疾病群体,具有不同的病因,病理途径和临床表现.
研究的目的:
- 突出COPD的复杂性,需要采取多方面的预防方法.
- 为了强调预防的潜力,考虑到最近在了解COPD的自然史和早期检测方面的进展.
主要方法:
- 审查目前对COPD自然史的理解.
- 分析早期COPD评估的新兴策略.
主要成果:
- 慢性肺炎的异质性对统一的预防策略提出了挑战.
- 对疾病早期阶段的更好理解有助于针对性干预.
结论:
- 一个全面的预防策略必须承认并解决COPD固有的复杂性.
- 早期发现和量身定制的干预措施使COPD预防成为可实现的,尽管雄心勃勃的公共卫生目标.
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