摘要
目的 了解门诊慢性阻塞性肺疾病 (COPD)患者临床特点、就诊规律、治疗情况和肺功能改变。方法 对呼吸科门诊的 2 83例COPD病人 ,采用询问病史和复习门诊病历的方法 ,调查不同严重程度COPD患者临床特点、就诊规律、治疗情况和肺功能改变 ,分析病情、就诊和肺功能之间的的关系。结果 74例 ( 2 6 % )为首次就诊组 ,139例 ( 4 9% )为间歇就诊组 ,70例 ( 2 5 % )为定期就诊组。就诊的主要原因是急性发作和症状持续。气促是病人就诊时的主要症状。当出现Ⅲ级或以上的气促时 ,96 %的病人已经达到GOLD分级重度或以上。仅 12 %的病人过去曾经接受肺功能检查。肺功能检查证实门诊首次就诊的COPD患者中有 5 2 %达到GOLD分级Ⅱ级或以上 ,在规律就诊组有 79%达到Ⅲ级或Ⅳ级。结论 门诊COPD病人普遍存在就诊延迟、不规则治疗和肺功能检查率低的问题。肺功能检查有利于正确诊断和判断COPD的严重程度 。
Objective To investigate the clinical presentations,medical visits,therapeutic conditions and pulmonary function of out-patients with chronic obstructive pulmonary disease (COPD).Methods 283 cases of out-patient with COPD were investigated involving history,symptoms,frequencies of medical visit while pulmonary function test was performed.Results Based on frequencies of medical visit,these subjects were described as first visit group (74,26%),intermittent visit group (139,49%) ,and regular visit group(70,25%).The preliminary causes of patients for medical help were acute exacerbation and chronic persistence of COPD with dyspnea as the prominent symptom.When patients complained of dyspnea ≥ level Ⅲ,lung function test revealed the disease severity as stage Ⅲ to Ⅳ according to GOLD classification.Only 12% of the patients had ever received pulmonary function test before.Pulmonary function test proved that in the first visit group 52% of the patient had a severity of stage Ⅱ or more and in the regular visit group 79% belonged to stage Ⅲ to Ⅳ.Conclusions Delayed diagnosis,irregular treatment,and under-application of pulmonary function test are common defects in management of COPD. Lung function test is a valuable tool for early diagnosis,severity evaluation,and therapy monitoring in out-patients with COPD.
出处
《中国呼吸与危重监护杂志》
CAS
2004年第3期185-188,共4页
Chinese Journal of Respiratory and Critical Care Medicine
关键词
门诊
慢性阻塞性肺疾病
肺功能
调查
临床特点
Chronic obstructive pulmonary disease
Dyspnea
Pulmonary function test
