北京市某社区慢性阻塞性肺疾病诊疗与管理现状调查

The diagnosis and treatment of chronic obstructive pulmonary disease in a community in beijing: a cross sectional study

目的:通过横断面研究了解左家庄地区慢性阻塞性肺疾病(COPD)患者的流行特征及诊疗与管理现况。方法:以分层整群抽样方法,抽取左家庄地区年龄≥40岁的常住居民进行调查,进行问卷调查、体格检查及肺功能检测,对肺功能结果符合COPD诊断的患者,进一步通过呼吸困难指数(m MRC),慢性阻塞性肺疾病评估测试(CAT),肺功能分级(GOLD)进行COPD综合评估。结果:本研究共收集914例研究对象,疾病知晓率为8.2%(75/914)。筛查出COPD患者共92例,患病率为10.1%(92/914)。在85例COPD患者进行跟踪调查中,仅有42.4%(36/85)之前做过肺功能检查,有35.3%(30/85)接受戒烟、接种疫苗等一级预防,13.0%(11/85)规范化治疗,1.2%(1/85)接受肺康复治疗。结论:左家庄地区居民COPD诊断率低,干预及规范治疗比例较低,社区规范化管理有待提高。

Objective:To investigate the epidemic characteristics,diagnosis and treatment status of chronic obstructive pulmonary disease(COPD)in Zuojiazhuang community,Beijing.Methods:A stratified cluster sampling method was used to investigate the residents aged more than 40 years old in Zuojiazhuang com-munity.All the patients were investigated by questionnaire,physical examination and pulmonary function test.The result of pulmonary function were in accordance with the diagnosis of COPD.Furthermore,COPD was eval-uated by modified British medical research Council(mMRC),COPD assessment test(CAT)and GOLD.Re-sults:In total,914 participants were included in the present study.the disease awareness rate was 8.2%(75/914),92 COPD patients were screened,and the prevalence rate was 10.1%(92/914).Of 85 patients with COPD,only 42.4%(36/85)had had previous lung function tests.35.3%(30/85)patients were treated with primary intervention such as quitting smoking and vaccination,13.0%(11/85)patients were treated with stand-ardized treatment,and 1.2%(1/85)patient was treated with pulmonary rehabilitation.Conclusions:The diag-nostic rate of COPD in Zuojiazhuang community is low.Patients with COPD have a lower proportion of interven-tion and standardized treatment,the level of management of patients with COPD needs to be improved.