基础医学与临床 ›› 2011, Vol. 31 ›› Issue (10): 1176-1180.

• 短篇综述 • 上一篇    下一篇

慢性阻塞性肺疾病的全身效应

李国安1,蔡柏蔷1,许景灿2   

  1. 1. 北京协和医院呼吸内科
    2. 中南大学护理学院
  • 收稿日期:2010-04-12 修回日期:2010-09-08 出版日期:2011-10-05 发布日期:2011-10-08
  • 通讯作者: 蔡柏蔷 E-mail:caibq1946@yahoo.com.cn

Systemic Effects of Chronic Obstructive Pulmonary Disease

  • Received:2010-04-12 Revised:2010-09-08 Online:2011-10-05 Published:2011-10-08

摘要: 慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)是一种常见病、多发病,其典型表现为气流受限和气道重塑,导致肺的结构与功能的改变。由于COPD的患者多种炎症介质的激活使患者处于系统性炎症状态,使得COPD不仅仅是呼吸系统的疾病,同时还包含许多肺外表现,即全身效应。常见的全身性表现包括:骨骼肌萎缩、恶液质、骨质疏松;而慢性炎症使COPD的患者缺血性心脏病、肺动脉高压、糖尿病等疾病的患病率大大增加。

关键词: 慢性阻塞性肺疾病 , 炎症 , 骨骼肌萎缩 , 骨质疏松 , 肺动脉高压 , 糖尿病

Abstract: Chronic Obstructive Pulmonary Disease(COPD)is a common disease, the characteristic of which is airflow limitation and airway remodeling, thus worsening the structure and function of the lung. COPD is not only implicated in the lung, but involve in some other extrapulumonary effects, also called systemic effects, through the systemic inflammation caused by the activation of inflammation mediators. The most frequent systemic effects are: skeletal muscle wasting, cachexia, osteoporosis, etc. And the prevalences of ischemic heart disease, pulmonary hypertension, diabetes mellitus are higher in COPD patients because of the chronic inflammation.

Key words: Chronic Obstructive Pulmonary Disease, inflammation, skeletal muscle wasting, osteoporosis, pulmonary hypertension, diabetes mellitus

中图分类号: