摘要
目的 :探讨慢性阻塞性肺病防治全球倡仪 (GOLD)对慢性阻塞性肺病 (COPD)的诊断分级标准并提出看法。方法 :以中华呼吸学会 1997年制定的COPD诊断分级标准和传统肺功能不全分级标准诊断为轻度COPD的 114例患者的肺功能测定数据为分析依据 ,对GOLD标准提出不同看法。结果 :114例轻度COPD患者主要肺功能测定数据 :第 1秒用力呼气容积 (FEV1)为 74 .6± 0 .2 ,FEV1/最大呼气用力容积 (FVC)为 70 .5± 1.1,每分通气量(MVV) 71.0± 1.3,余气量 (RV) 12 7.5± 5 .7,RV/肺总量 (TLC) 4 5 .0± 1.0。结论 :初发、轻度的COPD患者FEV1/FVC不一定 <70 % ,因此GOLD分级标准可对部分COPD漏诊 ,且其分级跨度太大 ,不利于COPD康复治疗的指导。
Objective: To investigate the staging criteria of chronic obstructive pulmonary disease (COPD) in GOLD and to present our opinion. Methods: Based on the staging criteria of COPD both in Chinese Medical Association and that of the traditional pulmonary function insufficiency, different opinions on the staging criteria in GOLD was presented. Results: The data of the major pulmonary function parameters from 114 patients with mild degree COPD were: FEV 1 74.6±0.2, FEV 1/FVC 70.5±1.1, MVV 71.0±1.3, RV 127.5±5.7, RV/TLC 45.0± 1.0 Conclusion: FEV 1/FVC of incipient and mild COPD patients may not necessarily lower than 70 %. Therefore, missed diagnosis of a part of COPD patients may present based on the staging criteria in GOLD, which is not beneficial for guidance of COPD rehabilitation for its large scale among the stages.
出处
《中国康复》
2003年第2期65-66,共2页
Chinese Journal of Rehabilitation
