| 上海市社区卫生服务中心慢性阻塞性肺疾病防控能力分析 |
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| 引用本文： | 杨群娣,苏秋云,陈晓英,郑杨,刘丹妮,刘晓侠,施燕,付晨.上海市社区卫生服务中心慢性阻塞性肺疾病防控能力分析[J].中华全科医学,2023,21(3):442-444. |
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| 作者姓名： | 杨群娣 苏秋云 陈晓英 郑杨 刘丹妮 刘晓侠 施燕 付晨 |
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| 作者单位： | 1.上海市疾病预防控制中心，上海 200336 |
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| 基金项目： | 上海市卫生健康委员会科研面上项目202140490 |
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| 摘 要： | 目的 了解上海市社区卫生服务中心慢性阻塞性肺疾病(COPD)防控能力，为进一步推动COPD防控工作提供依据。 方法 采用自行设计的问卷，对上海市所有社区卫生服务中心进行调查，主要内容包括COPD诊断所需设备、治疗药物的配置以及防控工作情况等。 结果 242家社区卫生服务中心中，配备肺功能检测仪的比例为28.51%，提供肺功能检测服务的比例为19.83%。配备X线机的比例为97.52%。三类常用治疗药物支气管扩张剂、吸入糖皮质激素、磷酸二酯酶-4抑制剂的配备比例分别为93.80%、34.30%、6.61%，配备长效β2受体激动剂和长效抗胆碱能制剂的社区比例分别为30.58%和19.01%。在开展的COPD防控工作上，开展COPD健康教育工作的机构占比为50.83%，主要形式有讲座、主题宣传日活动和发放宣传材料等；16家(6.61%)开展过COPD主动筛查工作，其中采用问卷和简易肺功能检测联用10家，采用简易肺功能检测6家；开展高危人群管理和患者社区管理的机构比例分别为4.13%、18.18%，主要干预内容为健康教育、危险因素干预和定期评估。 结论 上海市社区卫生服务中心COPD防控工作尚处起步阶段，诊治相关的配置还需加强。
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| 关 键 词： | 上海 社区卫生服务中心 慢性阻塞性肺疾病 防控 |
| 收稿时间： | 2022-02-08 |
Capacity for chronic obstructive pulmonary disease prevention and control of community health service centers in Shanghai |
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| Affiliation: | Shanghai Municipal Center for Disease Control & Prevention, Shanghai 200336, China |
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| Abstract: | Objective To evaluate the capacity for chronic obstructive pulmonary disease (COPD) prevention and control of community health service centers in Shanghai in order to improve future work. Methods A self-designed questionnaire survey was conducted to investigate the progression on prevention and control of COPD and the related equipment and drugs among all community health service centers in Shanghai. Results Among the 242 community health service centers, 28.51% were equipped with spirometer while 19.83% provided pulmonary function testing service. Community health service centers equipped with X-ray machines account for 97.52%. The proportion of community health service centers providing bronchodilators, glucocorticoids, and phosphodiesterase inhibitors were 93.80%, 34.30%, and 6.61%, respectively. The percentage of community health service centers providing long-acting beta2-agonists and long-acting muscarinic antagonists were 30.58% and 19.01%. In terms of COPD prevention and control, 50.83% of the centers carried out COPD health education, mainly in the form of lectures, theme publicity day activities and distribution of publicity materials. Total 16 (6.61%) community health service centers had carried out COPD active screening, of which 10 used questionnaires combined with simple pulmonary function test, and 6 used simple pulmonary function tests. The proportion carrying out the projects on high-risk population management and patient community management were 4.13% and 18.18%. The main intervention contents included health education, risk factor intervention and regular assessment. Conclusion The prevention and control of COPD in community health service centers in Shanghai is still in its infancy, and the related equipment and facilities of diagnosis and treatment needs to be strengthened. |
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