诊疗方案
ENGLISH ABSTRACT
慢性阻塞性肺疾病诊治指南(2021年修订版)
中华医学会呼吸病学分会慢性阻塞性肺疾病学组
中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会
作者及单位信息
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DOI: 10.3760/cma.j.cn112147-20210109-00031
Guidelines for the diagnosis and management of chronic obstructive pulmonary disease (revised version 2021)
Chronic Obstructive Pulmonary Disease Group of Chinese Thoracic Society
Chronic Obstructive Pulmonary Disease Committee of Chinese Association of Chest Physician
Authors Info & Affiliations
Chronic Obstructive Pulmonary Disease Group of Chinese Thoracic Society
Chronic Obstructive Pulmonary Disease Committee of Chinese Association of Chest Physician
·
DOI: 10.3760/cma.j.cn112147-20210109-00031
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摘要

慢性阻塞性肺疾病(简称慢阻肺)是最常见的慢性气道疾病。我国慢阻肺领域的专家们通过检索和整合近年来慢阻肺领域的研究进展,对“慢性阻塞性肺疾病诊治指南(2013年修订版)”进行了重新修订。本次修订提出了将危险因素、筛查问卷和普及肺功能应用相结合的策略,期望提高慢阻肺的早期诊断率,减少漏诊;对疾病综合评估、稳定期药物治疗、急性加重的评估、规范化治疗、后续访视和预防未来的急性加重等方面根据最新的研究证据做出了相应的调整,并对慢阻肺诊疗及临床研究方向提出了新的思考和展望。

引用本文

中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版)[J]. 中华结核和呼吸杂志,2021,44(03):170-205.

DOI:10.3760/cma.j.cn112147-20210109-00031

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前言
慢性阻塞性肺疾病(简称慢阻肺)是最常见的慢性气道疾病,也是健康中国2030行动计划中重点防治的疾病。慢阻肺诊治指南是临床防治诊治的重要指引,对规范诊治行为,保证医疗质量,提高临床工作水平,从而更有效地减轻患者的病痛,提高生命质量,降低病死率,减轻疾病负担,具有重要的意义。基于我国实际情况并结合国内外慢阻肺研究进展,尤其是慢阻肺全球倡议(global initiative for chronic obstructive lung disease,GOLD)颁布的“慢性阻塞性肺疾病诊断、处理和预防全球策略”,中华医学会呼吸病学分会组织专家先后编写制定了“慢性阻塞性肺疾病诊治规范(草案)(1997年) 1”“慢性阻塞性肺疾病诊治指南(2001年) 2”“慢性阻塞性肺疾病诊治指南(2007年修订版) 3”“慢性阻塞性肺疾病诊治指南(2013年修订版) 4”等,上述文件在临床工作和科学研究中均起到了重要的指导作用。
2013年以来,我国与慢阻肺有关的临床科研工作获得了重大进展,同时国际学术界对慢阻肺的认识也发生了深刻变化。GOLD学术委员会对GOLD 2017进行了全面的修订,包括定义、发病机制、综合评估、个体化治疗、急性加重和合并症等,GOLD 2018、2019、2020和2021分别在GOLD 2017版本的基础上进行了每年的修订,其中不乏中国研究团队的贡献。为了及时反映国内外的研究进展,更好地指导我国慢阻肺的临床诊治和研究工作,中华医学会呼吸病学分会慢性阻塞性肺疾病学组和中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会组织专家对“慢性阻塞性肺疾病诊治指南(2013年修订版)”进行了修订。
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备注信息
A
陈荣昌,深圳市人民医院 深圳市呼吸疾病研究所 广州医科大学附属第一医院 广州呼吸健康研究院 国家呼吸系统疾病临床医学研究中心 510120,Email: mocdef.3ab61.pivcrnehc
B
康健,中国医科大学附属第一医院呼吸与危重症医学科110001, Email: mocdef.3ab6185naijgnak
C

中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021年修订版)[J]. 中华结核和呼吸杂志, 2021, 44(3): 170-205. DOI: 10.3760/cma.j.cn112147-20210109-00031.

D
所有作者均声明不存在利益冲突
E
国家重点研发计划 (2017YFC1310600,2016YFC1304100,2016YFC1304500,2018YFC1311900,2016YFC1304301)
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