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首页> 外文期刊>BMJ: British medical journal >Guidelines for chronic obstructive pulmonary disease
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Guidelines for chronic obstructive pulmonary disease

机译：慢性阻塞性肺指南疾病

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摘要

Faced with a plethora of guidelines, doctors in primary and secondary care may well ask, why another guideline and particularly a guideline for chronic obstructive pulmonary disease and how is it going to affect practice? Guidelines from the Global Initiative in Obstructive Lung Disease were updated in 2003. The National Institute for Clinical Excellence (NICE) published a guideline earlier this year. New guidelines from the European Respiratory Society and American Thoracic Society appeared recently (www.thoracic.org/copd). The existence of so many guidelines reflects the increasing recognition of the burden of chronic obstructive pulmonary disease both on patients and on healthcare resources. Whereas the condition was 3 considered to have few therapeutic options previously, it is now considered treatable, and over the past five years increasing evidence supports pharmacological and non-pharmacological treatments. This article discusses the guideline published for NICE by the National Collaborating Centre for Chronic Conditions and many members of the British Thoracic Society and makes some comparisons with other guidelines. The 1997 British Thoracic Society guidelines needed updating, which is what the NICE guideline does. It is truly evidence based, wide ranging, and deals with diagnosis, assessment of severity, and treatment of chronic obstructive pulmonary disease.
机译：面对大量的指导方针,医生初级和二级保健可能会问,为什么另一个指南,尤其是指导慢性阻塞性肺疾病和如何它会影响练习吗?阻塞性肺疾病的全球倡议在2003年被更新。临床机构(NICE)出版了一本指导原则今年早些时候。欧洲呼吸协会和美国人胸最近出现的社会(www.thoracic.org/copd)。准则反映了越来越多的认可慢性阻塞性肺的负担疾病对患者和医疗保健资源。有一些治疗选项之前,它是现在被认为是可以治疗的,和过去5年越来越多的证据支持药理和后备治疗方法。发表国家合作好中心慢性病和许多的成员英国胸学会,让一些比较与其他指南。英国胸协会的指导方针更新,这是不错的指导方针。它真的是基于证据的,广泛,处理诊断、严重程度的评估,治疗慢性阻塞性肺疾病。

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