滁州地区慢性阻塞性肺疾病稳定期综合评估调查研究

Investigation and Study on Comprehensive Assessment of Stable Phase of Chronic Obstructive Pulmonary Disease in Chuzhou Area

目的了解滁州地区慢性阻塞性肺疾病(COPD)患者综合评估情况。方法选择2016年8月—2018年5月我院260例稳定期COPD患者进行问卷调查,依据2017版GOLD对COPD评估测试(CAT)、英国医学研究委员会调查问卷(mMRC)、急性加重次数(n)进行统计分析分组。结果经过调查问卷统计可知,滁州地区260例问卷COPD患者综合评估A组25例,占9.61%,B组69例,占26.54%,C组66例,占25.39%,D组100例,占38.46%,由此可知D组人数最多,B与C组均等,A组最少。CTA评分(13.72±5.58)分,其中CTA评分≥10分人数多于<10分者;mMRC分级0～1级患者少于2～4级患者;急性加重次数≥2次的总体占比较多。结论滁州地区COPD患者在病情初期治疗不及时,延误病情,因此强化COPD知识的普及在基层显得尤为重要。

Objective To understand the comprehensive assessment of patients with chronic obstructive pulmonary disease(COPD)in the Chuzhou region.Methods 260 patients with stable COPD in our hospital from August 2016 to May 2018 were selected to conduct a questionnaire survey.Statistical analysis of the COPD assessment test(CAT),the British Medical Research Council questionnaire(mMRC),and the number of acute exacerbations(N)according to the 2017 version of GOLD was made.Results According to the statistics of questionnaire of 260 cases,25 cases in group A,69 cases in group B,66 cases in group C,and 100 cases in group D accounted for 9.61%,26.54%,25.39%and 38.46%respectively.It can be concluded that group D has the largest number,group B and group C were equal,and group A had the least.CTA score(13.72±5.58)points,of which CTA score≥10 points significantly more than<10 points;mMRC grade 0~1 patients were significantly less than 2~4 patients;the overall proportion of acute exacerbations≥2 times many.Conclusion The treatment of COPD patients in Chuzhou area was not timely in the early stage of the disease,which delayed the disease.Therefore,it is particularly important to strengthen the popularization of COPD knowledge at the grassroots level.