慢性阻塞性肺病是一种临床常见慢性病,传统医学在治疗中有独特优势,本文全面阐述了中医药中慢性阻塞性肺病概念、病因病机、辨证分期、内外治疗、预防保健及相关中医临床研究进展。Chronic obstructive pulmonary disease (COPD) is a common chronic clinical disease, and traditional medicine has unique advantages in treatment. This article comprehensively elaborates on the concept of COPD in traditional Chinese medicine, etiology and pathogenesis, syndrome differentiation and staging, internal and external treatment, prevention and health care, and related research progress in clinical studies of traditional Chinese medicine.
肺气肿是慢性阻塞性肺疾病的主要表现之一,《2024年GOLD慢性阻塞性肺疾病诊断、管理及预防全球策略》(以下简称《GOLD 2024》)于2023年11月13日更新,《GOLD 2024》中推荐应该尽可能利用胸部CT检查机会筛选潜在的慢阻肺患者。肺气肿在临床工作中通常难以通过胸部CT数据进行定量分析,但当肺气肿合并气道异常时,应当引起临床重视,结合临床症状和相关检查进行详细评估,最终确定是否诊断慢阻肺,这对患者后续的诊治方向有很大帮助,尽可能早的治疗才能最大程度改善患者的生活质量。Emphysema is one of the main manifestations of chronic obstructive pulmonary disease, and “The 2024 GOLD Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease” (“GOLD 2024”) was updated on 13 November 2023. “GOLD 2024” recommends that chest CT should be used whenever possible to screen potential COPD patients. Emphysema is usually difficult to be quantitatively analyzed through chest CT data in clinical work. However, when emphysema is combined with airway abnormalities, clinical attention should be paid to it, and detailed assessment should be carried out in combination with clinical symptoms and related examinations to finally determine whether COPD is diagnosed, which will be of great help to the follow-up diagnosis and treatment of patients, and the earliest possible treatment can improve the quality of life of patients to the greatest extent.
