摘要
目的了解我国慢性阻塞性肺疾病（COPD）诊断情况，为提高COPD防治水平提供依据。方法以COPD、流行病学调查为主题词，在万方数据库和Medline中检索我国2000年1月-2011年12月公开发表于核心期刊或统计源期刊，样本量≥1000人，有严格质量控制，属于COPD流行病学调查的论著。对国内已发表的COPD流行病学调查结果进行全面检索和系统分析。结果流行病学调查前患者知道自己患有COPD（其中包括大量的慢性支气管炎、肺气肿）者只有32．90％（1095／3328），流行病学调查前曾经做过肺功能检查的仅有9．13％（237／2597）。已确诊的COPD患者中有咳嗽、咳痰和（或）活动气短症状的比率为65．40％（2306／3526），流行病学调查中确诊的COPD患者中I、Ⅱ级的比率高达74．52％（1802／2418）。结论目前我国COPD诊断严重不足，I、Ⅱ级患者没有得到及早诊断。
Objective To investigate underdiagnosis problem of chronic obstructive pulmonary disease （COPD） in China. Methods Articles published during January 1 st, 2000 and December 30th, 2011 were searched in Wanfang Database and Medline, search words including COPD and epidemiology survey. The papers were then reviewed, and those original contirbutions with sample size ≥1000 and strict quality control entered into the final analysis. Results Only 32.90% （ 1095/3328 ） COPD patients had ever been diagnosed to have emphysema, bronchitis or COPD, and only 9. 13% （237/2597） had undergone lung function test. About 65.40% （2306/3526） COPD patients were presented with at least one of the following symptoms： cough, phlegm and breathlessness. Stage I or Ⅱ COPD was found in 74.52% （1802/2418） patients. Conclusion Underdiagnosis of COPD was quite common in China, and patients with stage I or Ⅱ COPD should have deserved early diagosis.
出处
《中华健康管理学杂志》
CAS
2013年第1期44-47,共4页
Chinese Journal of Health Management
关键词
肺疾病
慢性阻塞性
流行病学
诊断
Pulmonary disease, chronic obstructive
Epidemiology
Diagnosis
