成都市社区医师对慢性阻塞性肺疾病诊疗行为的调查  

Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease by General Practitioners Working in Community Hospitals of Chengdu

作　　者：曾雪峰[1] 陈锋[1] 王晓霞[1] 李凯[1] 李群[1] 

机构地区：[1]四川省成都市第三人民医院呼吸科,610031

出　　处：《中国全科医学》2010年第28期3170-3172,共3页Chinese General Practice

基　　金：成都市"十一五"科技发展规划重大专项分项<慢性阻塞性肺疾病的社区防治的研究>

摘　　要：目的调查成都市社区医师对慢性阻塞性肺疾病(COPD)的认识和诊治行为现状。方法采用问卷调查方式,对成都市4个区共6个社区卫生中心的医师进行横断面调查。结果共回收有效问卷96份。93.8%(90/96)的医师了解当前COPD的患病率;仅36.5%(35/96)能全面认识发病高危因素。了解COPD疾病特征者占21.9%(21/96)。依据临床症状诊断COPD者占70.8%(68/96),同时应用肺功能诊断者仅占29.2%(28/96)。COPD急性加重期治疗基本符合指南原则,但对无创通气认识尚不足,尤其资历较低的医师。COPD稳定期药物治疗,推荐糖皮质激素和支气管扩张剂联合吸入的医师占71.9%(69/96);对氧疗知识的认识不足,全面了解上述氧疗相关知识者仅占18.8%(18/96)。结论加强对社区医师的宣传教育及推广指南应用仍是今后COPD临床防治工作的重点。Objective To investigate the status of knowledge of diagnosis and treatment of chronic obstructive pulmonary disease（COPD） among general practitioners working in community hospitals of Chengdu.Methods Questionnaire was designed and used to investigate the knowledge of diagnosis and treatment of COPD among the general practitioners in 6 community hospitals located in 4 district s of Chengdu.Results A total of 96 eligible questionnaires were collected and 93.8%（90/96） general practitioners were acquainted with the prevalence of COPD.Only 36.5%（35/96） general practitioners knew about all the risk factors of COPD,and 21.9%（21/96） were acquainted with the characteristics of COPD.A total of 70.8%（68/96） general practitioners made diagnosis only based on clinical symptoms,and only 29.2%（28/96） made diagnosis in combination with pulmonary function Therapy of acute exacerbation of COPD were basically conformed to the treatment guidelines.There was disparity in knowledge of noninvasive intermittent positive pressure ventilation（NIPPV）,especially among physicians of lower ranks.For therapy of stable COPD 71.9%（69/96） of general practitioners recommended inhaled glucocorticosteroids and beta-2-receptor agonist.Only 18.8%（18/96） general practitioners had the complete knowledge of oxygen therapy.Conclusion To enhance the education of general practitioners and popularize the guidelines are the key in clinical prevention and treatment of COPD.

关 键 词：肺疾病 慢性阻塞性 问卷调查 全科医师 

分 类 号：R956[医药卫生—药学]