重视慢性阻塞性肺疾病的预防与早期诊断

慢性阻塞性肺疾病(简称慢阻肺)是一种常见的严重威胁人类健康的疾病。慢阻肺在我国患病率和病死率均居第3位, 且患病率进展迅速, 形势严峻, 考虑与吸烟人群增加、空气污染严重以及人口老龄化等有关。在中国尤其基层医疗机构, 慢阻肺诊治的巨大障碍是临床肺功能检查应用严重不足, 主要原因包括对于肺功能检查重要性认识不足、设备缺乏、经费受限等。目前慢阻肺预防工作的重点是戒烟、控制空气污染以及推广肺功能检查。

Prevalence and Early Diagnosis of Chronic Obstructive Pulmonary Disease in China

Chronic obstructive pulmonary disease (COPD) is a common lethal disease. In China, it has the third incidence rate and is also the third leading cause of death. Over the past decades, there is a rapid growth in the prevalence of COPD. The three significant causes are the growth of smoking population, severe air pollution, and the aggravating trend of the aging population. Insufficient clinical application of spirometry is a huge obstacle in the diagnosis and treatment of COPD in China. The reasons for the limited use of spirometry in clinical practice, especially in most primary medical institutions, include poor understanding of the significance of pulmonary function tests, lack of equipment, and financial constraints. Main methods for the prevention of COPD include smoking cessation, control of air pollution, and the promotion of pulmonary function testing.