浅谈我国基层医院COPD治疗中的盲点与误区  

The Inadequate Managements of Chronic Obstructive Pulmonary Disease(COPD) in Primary Health Care Hospitals in China

作　　者：罗勇[1,2] 徐卫国[2] 

机构地区：[1]上海交通大学医学院附属新华医院崇明分院呼吸科,上海202150 [2]上海交通大学医学院附属新华医院,上海200092

出　　处：《临床误诊误治》2012年第8期1-4,共4页Clinical Misdiagnosis & Mistherapy

基　　金：上海市慢性病综合防治项目(SHDC12007301)

摘　　要：慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是人类主要慢性致死性疾病之一,但目前我国基层医院在COPD治疗中存在较多盲点和误区,包括戒烟治疗不够重视、雾化吸入治疗未被普及、抗胆碱能药物使用严重不足、糖皮质激素使用不够规范、抗生素使用过度以及肺康复治疗处于空白,上述薄弱环节使我国COPD防控面临巨大挑战。改变这一现状,需政府逐步加大对基层医院的有效投入,包括人员的培训、药物和设施的配备,使COPD患者在基层医院就能够接受规范正确的治疗,改善生活质量。Although chronic obstructive puhnonary disease （COPD） is one of the major lethal chronic diseases in the world, there are many blind spots and wronged points in treatment of COPD in primary health care hospitals. They exist in antismoking campaign, the treatment of atomization lack of anticholinergic agents and glucocorticoids, abuse of antibiotics and lack of pulmonary rehabilitation. All of these problems present us great challenges in proper prevention and treatments of COPD in China. In order to change the situation, our government should increase effective investment in primary health care hospitals, which include professional training and medical equipment, medicine supplies and facilities, so that patients with COPD may receive correct and standard therapy and their quality of life may be improve .

关 键 词：肺疾病 慢性阻塞性 医院 基层 

分 类 号：R563.9[医药卫生—呼吸系统]