实用老年医学 ›› 2025, Vol. 39 ›› Issue (9): 952-956.doi: 10.3969/j.issn.1003-9198.2025.09.019

• 临床研究 • 上一篇    下一篇

老年综合评估应用于慢性阻塞性肺疾病的研究进展

张伊融, 吴方   

  1. 200025 上海市,上海交通大学医学院附属瑞金医院全科医学科(张伊融);老年病科(吴方)
  • 收稿日期:2024-12-16 出版日期:2025-09-20 发布日期:2025-09-19
  • 通讯作者: 吴方,Email: wufangrjh@163.com

Review on the application of comprehensive geriatric assessment in chronic obstructive pulmonary disease

ZHANG Yirong, WU Fang   

  1. Department of General Practice(ZHANG Yirong); Department of Geriatrics(WU Fang), Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2024-12-16 Online:2025-09-20 Published:2025-09-19
  • Contact: WU Fang, Email: wufangrjh@163.com

摘要: 老年综合评估(CGA)是一种多学科、多维度评估老年人健康的工具,作为老年医学的核心评估技术之一,近年来已被广泛应用于临床各领域。然而,其针对老年COPD人群的应用效果相比其他人群而言较少被关注。本文主要对目前国内外针对老年COPD病人的CGA临床研究的评估内容、干预方法和干预效果进行汇总和综述,旨在为临床应用提供指导。对于老年COPD病人,尽早应用CGA,根据多样化、个体化的评估结果采取有效干预手段,可最大限度地控制其症状、改善功能水平和生活质量。针对不同病人评估的不同侧重点及其干预重点和效果进行更加详细的记录和分析可能是未来COPD病人CGA临床研究方向之一。

关键词: 慢性阻塞性肺疾病, 老年综合评估, 多学科评估, 个体化干预

Abstract: Comprehensive geriatric assessment (CGA) is a multidisciplinary and multidimensional tool for evaluating the health status of the elderly. As one of the core assessment techniques in geriatric medicine, it has been widely used in clinical practice in recent years. However, the effect of which for elderly Chronic obstructive pulmonary disease (COPD) patients has received less attention than others. This article mainly reviews the clinical researches on the application of CGA in elderly patients with COPD at home and abroad, which focuses on evaluation content, intervention methods and application effects, aiming to provide guidance for future clinical practice. It shows that for elderly patients with COPD, applying the method of CGA as soon as possible and taking effective interventions according to the results of diversified and individualized assessment can maximize the control of their symptoms, improve the functional level and quality of life. A more detailed analysis of the different emphases of individual patient evaluations and their intervention priorities and effects may be one of the directions for future clinical researches.

Key words: chronic obstructive pulmonary disease, comprehensive geriatric assessment, multidisciplinary assessment, individualized intervention

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