Early control of chronic obstructive pulmonary disease (COPD) at the age of 60 usually has a relatively small impact on life expectancy, while poor control of COPD that develops into moderate-to-severe disease may shorten life expectancy and, in severe cases, may be life-threatening. The impact on life expectancy is relatively small if chronic obstructive pulmonary disease at 60 years of age is managed in the early stages of the disease and treated scientifically according to medical advice. In particular, if ventilation is improved and respiratory failure is avoided, there is generally not much difference in life expectancy from the general population. However, if the disease is not controlled at an early stage and progresses to a moderate to severe stage, life expectancy may be affected, and if it is combined with complications such as pulmonary heart disease, or if respiratory failure occurs, survival time will be even shorter, and in serious cases, life-threatening. The life expectancy of 60-year-old patients with chronic obstructive pulmonary disease needs to be assessed according to the patient’s general condition, the presence of other comorbidities, and whether the treatment is standardized in time. It is recommended that the patient consult a doctor in a timely manner, comply with the doctor’s instructions for standardized treatment, and pay attention to daily life care under the guidance of the doctor.