吸入糖皮质激素
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供暖季警惕“沉默杀手” 这些慢阻肺的误区你知道吗?
Yang Shi Xin Wen· 2025-11-19 00:50
Core Viewpoint - The article highlights the increasing prevalence of Chronic Obstructive Pulmonary Disease (COPD) during the heating season, emphasizing the importance of awareness and early diagnosis of this "silent killer" [1][2]. Group 1: Disease Overview - COPD is characterized by chronic respiratory symptoms such as difficulty breathing, coughing, and sputum production, resulting from airway abnormalities or lung damage leading to persistent airflow obstruction [2]. - High-risk factors for COPD include long-term smoking, exposure to secondhand smoke, occupational dust, and the use of biomass fuels for heating or cooking in poorly ventilated areas [2]. Group 2: Diagnosis and Monitoring - Lung function tests are the gold standard for diagnosing COPD, as early-stage patients may not exhibit significant discomfort, and simple chest X-rays are often insufficient [3]. - Regular lung function tests are crucial for monitoring disease progression and treatment response, with recommendations for annual checks for mild to moderate cases and biannual checks for severe cases [4]. Group 3: Treatment Approaches - Treatment primarily involves medication and, in some cases, surgery, with inhalation therapy being the most basic treatment method [4]. - The use of bronchodilators and inhaled corticosteroids is emphasized, with a focus on the importance of adherence to medication even when symptoms are not present [6]. Group 4: Comorbidities and Management - There is a significant overlap between COPD and cardiovascular diseases, with 50% of COPD patients also suffering from heart conditions [5]. - Integrated management approaches, such as joint clinics for heart and lung health, are being established to provide comprehensive care for patients [6]. Group 5: Common Misconceptions - Misconceptions about COPD include the belief that medication is unnecessary when symptoms are absent, that patients should avoid exercise, and that inhaled corticosteroids should be avoided due to fear of side effects [6].