Analysis of diagnosis and treatment paths 

as well as guidelines for COPD

According to the latest edition of gold guidelines for chronic obstructive pulmonary disease, in addition to drug treatment, non-drug treatment includes mechanical ventilation support, oxygen therapy, surgical treatment, rehabilitation treatment, palliative treatment, end-stage care and hospice care. Among them, home dual level ventilator is the preferred treatment for non-drug treatment, especially for specific patients with obvious daytime hypercapnia, the combination of non-invasive ventilation and long-term oxygen therapy can effectively improve the survival rate. For patients with severe impairment of pulmonary function, decreased exercise endurance and other symptoms or high BODE¹ index, continuous positive airway pressure (CPAP), can effectively reduce mortality and reduce the risk of hospitalization. It is used for stable and acute exacerbation of severe COPD. One of the important treatment methods of severe treatment.

¹BODE index is composed of body mass index (b), degree of airflow obstruction (o), severity of dyspnea (d) and activity tolerance (E) assessed by 6-minute walking distance. It is a comprehensive evaluation that includes the general condition of COPD patients. The higher the index, the worse the condition of patients.