首页|《2025年GOLD慢性阻塞性肺疾病诊断、管理及预防全球策略》更新要点解读

《2025年GOLD慢性阻塞性肺疾病诊断、管理及预防全球策略》更新要点解读

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《2025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 2025》)于2024-11-11重磅更新.与《2024年GOLD慢性阻塞性肺疾病诊断、管理及预防全球策略》相比,《GOLD 2025》删除了第六章COVID-19与慢性阻塞性肺疾病(COPD)相关内容,并新增或更新了多项内容:(1)新增肺功能的发展轨迹;(2)新增微生态失衡;(3)新增肺功能检查内容;(4)新增COPD患者心血管疾病风险相关内容;(5)更新了胸部CT评估相关内容;(6)新增气候变化对COPD的影响;(7)更新了疫苗接种建议;(8)更新了随访期间药物治疗;(9)新增远程医疗在肺康复、自我管理中的实施;(10)更新了慢性阻塞性肺疾病急性加重(AECOPD)管理内容;(11)更新了COPD合并症相关内容.本文主要对《GOLD 2025》重要新增或更新内容进行解读,以期规范临床医务工作者的临床实践,提供明确的指导建议.
Interpretation of the Key Points of Global Strategy for the Diagnosis,Management,and Prevention of Chronic Obstructive Pulmonary Disease(2025 Report)
Global Strategy for the Diagnosis,Management,and Prevention of Chronic Obstructive Pulmonary Disease(2025 Report)(hereinafter referred to as GOLD 2025)has been updated significantly from November 11,2024.Compared with the Global Strategy for the Diagnosis,Management,and Prevention of Chronic Obstructive Pulmonary Disease(2024 Report),GOLD 2025 deleted chapter 6 COVID-19 and chronic obstructive pulmonary disease(COPD)-related content,and added or updated multiple contents:(1)added the content of development trajectory of lung function;(2)added the content of micro-ecological imbalance;(3)added the content of lung function test;(4)added the content of risk of cardiovascular disease in patients with COPD;(5)updated the content of chest CT evaluation;(6)added the content of impact of climate change on COPD;(7)updated the content of vaccination recommendations;(8)updated content of drug therapy during follow-up;(9)added the content of implementation of telemedicine in pulmonary rehabilitation and self-management;(10)updated the content of management of acute exacerbation of chronic obstructive pulmonary disease(AECOPD);(11)updated the content of COPD comorbidities.This paper mainly interprets the important new and updated contents of GOLD 2025,in order to standardize the clinical practice of clinical medical workers and provide clear guidance and suggestions.

Pulmonary disease,chronic obstructiveDiagnosisDisease managementDisease preventionGlobal Initiative for Chronic Obstructive Lung Disease

林凯洵、张昊天、王妍、王杰萍、周晓霞、陈雪、景玉琼、张淼淼、李昊东、闫巍

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100038 北京市,首都医科大学附属复兴医院全科医学科

102401 北京市,房山区拱辰街道社区卫生服务中心

100142 北京市,海淀区玉渊潭社区卫生服务中心

100053 北京市西城区首都医科大学附属复兴医院月坛社区卫生服务中心

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肺疾病,慢性阻塞性 诊断 疾病管理 疾病预防 慢性阻塞性肺疾病全球倡议

2025

实用心脑肺血管病杂志
河北省心脑肺血管病防治研究办公室

实用心脑肺血管病杂志

影响因子:1.864
ISSN:1008-5971
年,卷(期):2025.33(2)