耐药性慢性阻塞性肺病的管理:一篇评论
Mandeep Singh Rahi1, Mayuri Mudgal2, Bharat Kumar Asokar3
1Division of Pulmonary Diseases and Critical Care Medicine, Yale-New Haven Health Lawrence and Memorial Hospital, New London, CT 06320, USA.
Life (Basel, Switzerland)
|May 25, 2024
概括
慢性阻塞性肺病 (COPD) 管理通常会在一些患者中失败. 本综述探讨了耐火性COPD的先进疗法和支持性护理,旨在改善患者的治疗结果.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 影响全球超过12%的成年人,导致显著的发病率和死亡率.
- 虽然许多患者对标准治疗有反应,但有一部分患者患有耐药性COPD,症状持续.
- 耐药性COPD缺乏正式定义,但尽管得到最佳护理,但其特点是严重的症状.
研究的目的:
- 审查当前和新兴的干预措施,以管理耐火性COPD.
- 讨论一个包含药理学,非药理学和先进疗法的多维方法.
- 为了突出即将到来的治疗方法和缓解性护理策略,耐药性COPD患者.
主要方法:
- 这是一篇综述文章,综合了关于耐火性COPD管理的现有文献.
- 讨论的关键干预措施包括吸入器技术,非侵入性通风,慢性抗生素,固醇酶抑制剂和支气管镜肺体积减小手术.
- 该审查还涵盖了抗IL5药物,心理社会支持,营养支持和息护理.
主要成果:
- 标准的COPD干预措施对于耐火性疾病患者来说是不够的.
- 有一系列先进的治疗方法和支持措施,正在研究中.
- 多维管理对于改善耐火性COPD的结果至关重要.
结论:
- 耐火性慢性肺炎的有效管理需要一个超越标准护理的综合战略.
- 新兴的疗法,包括生物药物和手术干预,提供了新的希望.
- 整合心理社会,营养和息护理对于整体的患者管理至关重要.
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