CAJ | 학술논문

慢性阻塞性肺疾病（COPD）是一种成因复杂的、多组分参与的慢性气道炎症性疾病。其临床过程中有反复出现的急性加重，往往需要住院治疗，对患者的病情及预后影响较大。不仅如此，COPD 急性加重（AECOPD）后再入院现象也非常频繁，严重影响患者肺功能及生活质量，并导致住院费用大幅增加。因此对 AECOPD患者再入院的评估、治疗及预防越来越引起研究人员的关注。此文对 AECOPD 患者再入院的临床现状和相关研究进行介绍，分析了 AECOPD 患者再入院的流行病学、减少AECOPD 患者再入院的措施以及评估 AECOPD 患者再入院风险的方法，并对相关研究进行展望，旨在加强对该类患者的认识和管理。
만성조새성폐질병（COPD）시일충성인복잡적、다조분삼여적만성기도염증성질병。기림상과정중유반복출현적급성가중，왕왕수요주원치료，대환자적병정급예후영향교대。불부여차，COPD 급성가중（AECOPD）후재입원현상야비상빈번，엄중영향환자폐공능급생활질량，병도치주원비용대폭증가。인차대 AECOPD환자재입원적평고、치료급예방월래월인기연구인원적관주。차문대 AECOPD 환자재입원적림상현상화상관연구진행개소，분석료 AECOPD 환자재입원적류행병학、감소AECOPD 환자재입원적조시이급평고 AECOPD 환자재입원풍험적방법，병대상관연구진행전망，지재가강대해류환자적인식화관리。
Chronic obstructive pulmonary disease (COPD)is a multifactorial chronic inflammatory airway disease with a complex etiology.The clinical course of COPD involves re-current acute exacerbations that lead to frequent rehospitalization and greatly impact patients’ conditions and prognoses.In addition,these acute exacerbations of COPD (AECOPD)and the consequent frequent rehospitalizations not only markedly affect pulmonary function and quality of life but also result in substantial increases in medical expenses.Therefore,increasing atten-tion has been devoted to the evaluation and treatment of AECOPD patients and the prevention of these patients’rehospitalization.This paper not only reviewed the current clinical status of the rehospitalization of AECOPD patients and related research but also analyzed the epidemiology associated with rehospitalization due to AECOPD,measures to reduce the rehospitalization of AECOPD patients,and methods for evaluating these patients’risk for rehospitalization;using this approach,this investigation sought to provide an outlook regarding relevant research and improve the understanding and management of AECOPD patients.