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相关概念视频

Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
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COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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COPD: Pathogenesis and Clinical Features01:20

COPD: Pathogenesis and Clinical Features

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Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
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Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic Obstructive Pulmonary Disease-I: Introduction

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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

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Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
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Chronic Obstructive Pulmonary Disease01:22

Chronic Obstructive Pulmonary Disease

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
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相关实验视频

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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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难以治疗的COPD:从概念到实践

Lucile Regard1, Nicolas Roche1

  • 1Respiratory Medicine, Cochin Hospital, APHP Centre, Paris, France; Université Paris Cité, Institut Cochin, INSERM UMR 1016 Paris, France.

Presse medicale (Paris, France : 1983)
|November 11, 2025
PubMed
概括

患有难以治疗的慢性阻塞性肺病 (COPD) 的患者需要重新评估标准护理以外的情况. 专注于动态疾病控制,而不仅仅是固定的目标,指导个性化管理策略,以获得更好的结果.

科学领域:

  • 肺部医学 肺部医学
  • 呼吸系统疾病研究 呼吸系统疾病研究
  • 临床管理策略 临床管理策略

背景情况:

  • 许多慢性阻塞性肺病 (COPD) 患者仍然表现出症状或经历疾病进展,尽管标准治疗.
  • 一个被称为"难以治疗的COPD"的患者子组缺乏正式定义,需要量身定制的管理方法.
  • 目前的管理往往侧重于固定的治疗目标,而不是动态的疾病控制.

研究的目的:

  • 提出疾病控制作为COPD管理的动态构造,与喘管理进行并行.
  • 为重新评估无法控制的COPD患者提供框架,重点关注诊断,治疗充足性和潜在的驱动因素.
  • 倡导从治疗升级转向对不响应指导方针照顾的患者进行重新表征.

主要方法:

  • 审查不控制的COPD的核心领域:持续性呼吸不良,慢性支气管炎,恶化和肺功能下降.
  • 探索临床推理,诊断工具,以及可治疗特征的表型/内型特定策略.
  • 检查超越标准护理的先进治疗途径,包括生物药物,肺体积减小和息护理.

主要成果:

  • 在COPD中,疾病控制应被视为一个动态状态,反映日常影响和长期稳定性.
  • 一个结构化的再评估框架有助于识别未解决的COPD病理生理驱动因素.
关键词:
生物疗法生物疗法慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.控制 控制 控制 控制 控制呼吸障碍 呼吸障碍 呼吸障碍恶化的情况加剧.吸入的维持疗法是吸入的维持疗法.

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  • 将范式转变为重新表征对于那些耐标准疗法耐药的患者至关重要.

    • 结论:

    • 建议实施多学科的案例讨论,并将疾病控制的丧失作为重新评估的触发因素.
    • 建议采用动态,精确的方法,将治疗与不断变化的COPD轨迹协调一致.
    • 目标是通过专注于个性化,适应性策略而不是定义新的表型来优化难以治疗的COPD的管理.