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慢性阻塞性肺疾病的黏液高分泌机制及治疗

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气道黏液高分泌是慢性阻塞性肺疾病的重要病理生理和临床表现之一。文献报道,存在慢性气道黏液高分泌的慢阻肺患者急性加重更频繁,肺功能下降更严重,住院和病死率也更高。因此,了解慢性阻塞性肺疾病黏液高分泌的发病机制,寻求有效的治疗方法显得尤为关键。本文重点讨论了气道黏液的结构和意义,并重点讲述了慢性阻塞性肺疾病黏液高分泌的机制。此外,本文还总结了慢性气道黏液高分泌的药物和非药物治疗,药物治疗包括传统药物治疗、针对发病机制的一些新的靶向药物治疗及中医药治疗,非药物治疗包括戒烟、物理治疗及支气管镜治疗,希望能为慢阻肺疾病的黏液高分泌的治疗提供新思路与方向。
Mechanism and treatment of mucous hypersecretion in chronic ob-structive pulmonary disease
Airway mucus hypersecretion is one of the important pathophysiological and clinical manifestations of chronic obstructive pulmonary disease.It has been reported in the literature that COPD patients with chronic airway mucus hyperse-cretion have more frequent acute exacerbations,more severe lung function decline,and higher hos-pitalizations and mortality.Therefore,it is particu-larly critical to understand the pathogenesis of hy-persecretion of mucus in chronic obstructive pul-monary disease and find out effective treatment.This article focuses on the structure,significance of airway mucus and the mechanism of hypersecre-tion of mucus in chronic obstructive pulmonary dis-ease(COPD).In addition,we also summarized drug and non-drug therapy for chronic airway mucus hy-persecretion in this article.Drug therapy includes traditional drug therapy,some new targeted drug therapy for pathogenesis and traditional Chinese medicine therapy,and non-drug therapy includes smoking cessation,physical therapy and bronchos-copy therapy.We hope that it will provide new ideas and directions for the treatment of mucus hy-persecretion in COPD patients.

chronic mucus hypersecretionchron-ic obstructive pulmonary diseasemechanismtreat-ment

张婷、孙嵘、杨涌、刘伟春、袁玉屏、居旭、王蒨

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上海市静安区闸北中心医院呼吸与危重症医学科,上海 200070

慢性气道黏液高分泌 慢性阻塞性肺疾病 机制 治疗

国家自然科学基金

82270026

2024

中国临床药理学与治疗学
中国药理学会

中国临床药理学与治疗学

CSTPCD北大核心
影响因子:0.97
ISSN:1009-2501
年,卷(期):2024.29(4)
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