Evaluation of morning symptoms of chronic obstructive pulmonary disease / 中国医师杂志

ABSTRACT

According to the traditional view,asthma is a disease with great variability,and its symptoms will change with the circadian rhythm,while it is believed that patients with chronic obstructive pulmonary disease (COPD) will have little change in their symptoms during the stable period.However,a growing number of studies have shown that patients with COPD also have diurnal variability in their symptoms,most commonly morning symptoms,and that morning symptoms are closely related to patients'worse health and quality of life,decreased ability to perform daily activities,and acute exacerbation risk.In recent years,foreign scholars have also developed some measurement scales for quantitative evaluation of morning symptoms of COPD patients,such as Patient Reported Outcomes (PRO)-Morning COPD Symptoms Questionnaire,Early Morning Symptoms of COPD Instruments,Capacity of Daily Living during the Morning questionnaire,Manchester Early Morning Symptoms Index and Chronic Obstructive Pulmonary Disease Morning Symptom Diary.In clinical practice,we should pay more attention to patients'morning symptoms and evaluate them with existing scales.