TY -的T1 -黄金和固定比率摩根富林明——欧洲ean Respiratory Journal JO - Eur Respir J SP - 482 LP - 484 DO - 10.1183/09031936.00063211 VL - 38 IS - 2 AU - Quanjer, P.H. AU - Enright, P.L. AU - Ruppel, G. AU - Miller, M.R. AU - Vaz Fragoso, C.A. AU - Cooper, B.G. AU - Swanney, M.P. AU - Stanojevic, S. AU - Jensen, R.L. AU - Schouten, J.P. AU - Falaschetti, E. AU - Stocks, J. Y1 - 2011/08/01 UR - //www.qdcxjkg.com/content/38/2/482.abstract N2 - From the authors:We welcome this opportunity for an open debate of the best definition of mild chronic obstructive pulmonary disease (COPD). The pulmonary clinicians and physiologists who signed the open letter to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) committee agree that: 1) COPD is a very important health problem; 2) too many cases are detected too late; 3) airways obstruction can only be detected by spirometry; 4) spirometry is greatly under-utilised and requires skilled personnel; and 5) misinterpretation of spirometry results is a cause for concern. During the past decade, the GOLD guidelines have greatly improved worldwide awareness of COPD and provided a “living document” for the diagnosis and treatment of COPD with the laudable goal of annual updates based on newly published evidence. However, the current GOLD guidelines [1] continue to define mild COPD as post-bronchodilator ratio of forced expiratory volume in 1 s (FEV1) to forced vital capacity (FVC) <0.70 with a normal FEV1, without evidence that even the majority of these adults so identified actually have COPD (even when including only those who report respiratory symptoms). It is illogical to teach generations of doctors to respect the normal range in biochemical and other clinical indices, but not in respiratory medicine because it is too difficult.More than 80% of smokers report a chronic cough or dyspnoea on exertion, but a diagnosis of COPD should not be made unless they also have airway obstruction and an abnormally … ER -