深圳市大鹏新区 7 家社康中心慢性阻塞性 肺疾病筛查结果分析
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(1. 深圳市大鹏新区葵涌社区健康服务中心,广东 深圳 518119;2. 深圳市第二人民医院,广东 深圳 518035)

作者简介:

许云炜,男,主治医师,主要从事社区慢性非传染性疾病管理工作。

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R 563

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Analysis of the Screening Results of Chronic Obstructive Pulmonary Disease in 7 Social Health Centers in Shenzhen Dapeng New District
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(1.Shenzhen Dapeng New District Kuichong Community Health Service Center, Guangdong Shenzhen 518119; 2. The Second People's Hospital of Shenzhen, Guangdong Shenzhen 518035)

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    摘要:

    〔摘 要〕 目的:通过对深圳市大鹏新区居住人群进行慢性阻塞性肺疾病(COPD)筛查,减少 COPD、支气管 哮喘等常见慢性气道疾病在基层医院的漏诊率及误诊率,延缓慢性气道疾病的发展,提高大鹏新区居民健康水平。 方法:对 2019 年 1 月至 2021 年 6 月期间所有至深圳市大鹏新区 7 家社康中心就诊的人群进行 COPD 调查问卷筛查, 收集有关信息,包括身高、体质量、吸烟情况、合并疾病、伴随症状等,并对部分人群进行肺功能检查测定其第 1 秒 用力呼气量(FEV1)/ 用力肺活量比值(FVC)和 FEV1% 预计值,诊断按照 2019 COPD 全球创议(GOLD)标准, 对各项指标进行比较及分析。结果:本研究共收集调查问卷 4640 份,男性 2058 例(40.1 %),女性 2582 例(59.9 %), 其中 2915 人行肺功能检查,62 例患者 FEV1/FVC < 70 %。呼吸系统积分与年龄呈正相关关系(r = 0.831,P = 0.000), 吸烟组受检者 COPD 检出率高于不吸烟组,差异有统计学意义(P < 0.05)。结论:在基层社康中心开展肺功能检查 可提高 COPD 的检出率,提高社区居民对慢病管理的重视程度,同时针对可控因素帮助社康医生对高危人群及早进 行干预及控制,对进一步探索早期干预措施具有重要意义。

    Abstract:

    〔Abstract〕Objective Through screening chronic obstructive pulmonary disease (COPD) for residents in Dapeng New Area of Shenzhen city, the rate of missed diagnosis and misdiagnosis of COPD, bronchial asthma and other common chronic airway diseases in basic hospitals is reduced, the development of chronic airway diseases is delayed, and the health level of residents in Dapeng New Area is improved. Methods All patients who visited 7 social health centers in Dapeng New District of Shenzhen from January 2019 to June 2021 were screened by questionnaire for COPD, and relevant information was collected, height and body mass, smoking status, concomitant diseases, and concomitant symptoms were measured. Lung function examination was performed to determine forced expiratory volume in the first second (FEV1)/forced vital capacity ratio (FVC) and FEV1% predicted value of some people. The diagnosis was made according to the 2019 COPD Global Initiative (GOLD) standard and all indicators were compared and analyzed. Results A total of 4640 questionnaires were collected in this study, including 2915 patients [2058 males (40.1%) and 2582 females (59.9%)], and 62 patients had FEV1/FVC < 70%. There was a positive correlation between respiratory system score and age (r = 0.831, P = 0.000), the detection rate of COPD in the smoking group was higher than that in the non-smoking group, the difference was statistically significant (P < 0.05). Conclusion Lung function examination in the basal shekang center can improve the detection rate of COPD, improve the community residents' attention to chronic disease management, and help shekang doctors to intervene and control the high-risk population as early as possible for controllable factors, which is of great significance to further explore early intervention measures.

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  • 收稿日期:2021-11-20
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  • 在线发布日期: 2022-04-24
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