2017年COPD指南

一慢性阻塞性肺疾病全球倡议慢性阻塞性肺疾病诊断、治疗和预防的全球策略2017报告guide.medlive.cni©2017GlobalInitiativeforChronicObstructiveLungDisease,Inc.Allrightsreserved.本文版权©2017GlobalInitiativeforChronicObstructiveLungDisease,Inc.所有。本次再版经版权方合法授权，由AstraZeneca赞助，上海鹰赛信息科技有限公司负责印制。如对版权问题有任何疑问，请及时联系：HansonDeng([e-mail])；未经书面许可，严禁以任何形式复制、传播本刊内容或将其存储于任何检索系统中。因产品责任、疏忽或使用文章中介绍的方法、产品或观点等对人身和/或财产所造成的伤害或损失，GOLD及其授权人、发行者或合作伙伴毋须承担任何责任。由于医学发展迅速，读者必须对诊断和药物剂量做出独立判断。GOLD2017中文版报告核心专家组成员：钟南山、王辰、陈荣昌、姚婉贞、蔡柏蔷、康健、文富强、冉丕鑫主译：姚婉贞、陈亚红、文富强审稿：钟南山、王辰、陈荣昌、姚婉贞、蔡柏蔷、康健、文富强、冉丕鑫感谢钟南山院士及王辰院士对于翻译及出版工作的积极推动！感谢北京大学第三医院路明、常春、张静、孙丽娜、廖艺璇、孙婉璐、李敏霞、米文君对于翻译工作付出的努力！guide.medlive.cnii慢性阻塞性肺疾病全球倡议慢性阻塞性肺疾病诊断、治疗和预防的全球策略2017报告©2017GlobalInitiativeforChronicObstructiveLungDisease,Inc.guide.medlive.cniiiiiiGOLDBOARDOFDIRECTORS(2016)GOLDSCIENCECOMMITTEE*(2016)AlvarAgusti,MD,ChairRespiratoryInstitute,HospitalClinic,IDIBAPSUniv.BarcelonaandCiberesBarcelona,SpainMarcDecramer,MD,Chair(to05/16)UniversityofLeuvenLeuven,BelgiumBartolomeR.Celli,MDBrighamandWomen’sHospitalBoston,Massachusetts,USARongchangChen,MDGuangzhouInstituteofRespiratoryDiseaseGuangzhou,PRCGerardCriner,MDTempleUniversitySchoolofMedicinePhiladelphia,Pennsylvania,USAPeterFrith,MDRepatriationGeneralHospital,Adelaide,SouthAustralia,AustraliaDavidHalpin,MDRoyalDevonandExeterHospitalDevon,UKM.VictorinaLópezVarela,MDUniversidaddelaRepúblicaMontevideo,UruguayMasaharuNishimura,MDHokkaidoUniversitySchoolofMedicineSapporo,JapanRobertoRodriguez-Roisin,MDRespiratoryInstitute,HospitalClinic,IDIBAPSUniv.BarcelonaandCiberesBarcelona,SpainClausVogelmeier,MDUniversityofMarburgMarburg,GermanyClausVogelmeier,MD,ChairUniversityofMarburgMarburg,GermanyAlvarAgusti,MDRespiratoryInstitute,HospitalClinic,IDIBAPSUniv.BarcelonaandCiberesBarcelona,SpainAntonioAnzueto,MDUniversityofTexasHealthScienceCenterSanAntonio,Texas,USAPeterBarnes,MDNationalHeartandLungInstituteLondon,UnitedKingdomJeanBourbeau,MDMcGillUniversityHealthCentreMontreal,CanadaGerardCriner,MDTempleUniversitySchoolofMedicinePhiladelphia,Pennsylvania,USALeonardoM.Fabbri,MDUniversityofModena&ReggioEmiliaModena,ItalyFernandoMartinez,MD,MSNewYork-PresbyterianHospital/WeillCornellMedicalCenterNewYork,NYUSANicolasRoche,MDHôpitalCochinParis,FranceRobertoRodriguez-Roisin,MDRespiratoryInstitut,HospitalClinic,IDIBAPS,Univ.BarcelonaandCiberesBarcelona,SpainDonaldSin,MDSt.Paul’sHospital,UniversityofBritishColumbiaVancouver,CanadaDaveSingh,MDUniversityofManchesterManchester,UKRobertStockley,MDUniversityHospitalBirmingham,UKJørgenVestbo,MDUniversityofManchesterManchester,England,UKJadwigaA.Wedzicha,MDImperialCollegeLondonLondon,UKGOLDPROGRAMDIRECTORRebeccaDecker,MSJFontana,Wisconsin,USASuzanneHurd,PhD(Directorto12/15)*DisclosureformsforGOLDCommitteesarepostedontheGOLDWebsite,(2017REPORT)GOLDNATIONALLEADERSPerlatKapisyzi,AlbaniaEduardoA.Schiavi,ArgentinaOttoChrisBurghuber,AustriaMostafizurRahman,BangladeshKaziS.Bennoor,BangladeshWimJanssens,BelgiumJoseRobertoJardim,BrazilAquilesCamelier,BrazilFernandoLundgren,BrazilYavorIvanov,BulgariaKostaKostov,BulgariaDennisE.O’Donnell,CanadaManuelBarros,ChileNan-ShanZhong,ChinaJiangtaoLin,ChinaChunxueBai,ChinaFu-QiangWen,ChinaAlejandroCasas,ColombiaNevenMiculinic,CroatiaStanislavKos,CzechRepublicJaromirMusil,CzechRepublicVladimirVondra,CzechRepublicEjvindFrausingHansen,DenmarkEduardoGautreaudeWindt,DominicanRepublicHishamTarraf,EgyptVictorCastroGòmez,ElSalvadorGerardHuchon,FranceMaiaGotua,GeorgiaKlausRabe,GermanyDavidS.C.Hui,HongKongThorarinnGislason,IcelandGunnarGudmundsson,IcelandRohiniV.Chowgule,IndiaR.Narasimhan,IndiaFaisalYunus,IndonesiaMasjediMohammadReza,IranMohammadAshkanMoslehi,IranTimothyJ.McDonnell,IrelandZviG.Fridlender,IsraelLorenzoCorbetta,ItalyTakahideNagase,JapanMichiakiMishima,JapanBasharNsour,JordanJawadHamad,JordanDamilyaNugmanova,KazakhstanYeon-MokOh,KoreaMousaKhadadah,KuwaitTalantSooronbaev,KyrgyzRepublicJosephMCacciottolo,MaltaJ.JavierDíazCastañón,MexicoAlexandruCorlateanu,MoldovaDrOyunchimeg,MongoliaHaroldRea,NewZealandJorgeCuadra,NicaraguaAmundGulsvik,NorwayErnstOmenaas,NorwayJavaidKhan,PakistanJamilUrRehmanTahir,PakistanMohammadOsmanYusuf,PakistanTeresitaS.deGuia,PhilippinesEwaNizankowska-Mogilnicka,PolandPawelKuca,PolandFlorinMihaltan,RomaniaRuxandraUlmeanu,RomaniaAlexanderChuchalin,RussiaDmitriR.Rackita,RussiaProfessorAlexandreVizel,RussiaProfessorEugenyShmelev,RussiaKian-ChungOng,SingaporeWan-ChengTan,SingaporeRuzenaTkacova,SlovakRepublicStanislavSuskovic,SloveniaEMIrusen,SouthAfricaPatriciaSobradillo,SpainDaianaStolz,SwitzerlandYousserMohammad,SyriaProfessorAliKocabas,TurkeyHakanGunen,TurkeyMariaMontesdeOca,VenezuelaNgoQuyChau,VietnamLeThiTuyetLan,VietnamSyDuong-Quy,VietnamKhaledAl-Shair,YemenGOLDNationalLeaders慢性阻塞性肺疾病诊断、治疗和预防的全球策略（2017报告）guide.medlive.cnv序言2011年慢性阻塞性肺疾病全球倡议（GOLD）发布了专家共识报告：慢性阻塞性肺疾病诊断、治疗和预防的全球策略，对于之前2001版中关于慢阻肺治疗策略进行了大范围的修改。随后根据自2011年报告完成后发表的文献，在2013年1月，2014年1月，2015年1月和2016年1月分别发布了更新版，但均维持了相同的治疗方案推荐。2015年修订版增加了由GOLD和GINA科学委