Biskupska Maria, Wysocki Jacek
Katedra Profilaktyki Zdrowotnej Akademii Medycznej w Poznaniu.
Przegl Lek. 2004;61(10):1052-6.
Chronic obstructive pulmonary disease (COPD) is one of the most frequent chronic diseases and the sixth leading cause of death in the world. The cigarette smoking is the most important cause of the disease and therefore, that COPD is preventable. Programmes detecting COPD in its preclinical phase using spirometry with successful smoking cessation prevent disease progression. The aim of the study was to assess the prevalence of COPD and other pulmonary diseases among participants of the program of early detection and prevention of COPD. The program was held in 2002 and carried out by eleven health care institutions. Active smokers over 40 insured in the Fund were offered free spirometry, chest x ray, individual and group behavioural therapy to stop smoking, and chest physician's examination for patients with diagnosed pathology. The results confirm high detection of COPD and other diseases and confirm the efficacy of targeted screening for early detection of COPD and other diseases.
慢性阻塞性肺疾病(COPD)是最常见的慢性病之一,也是全球第六大死因。吸烟是该疾病最重要的病因,因此COPD是可预防的。通过肺活量测定在临床前期检测COPD并成功戒烟的项目可预防疾病进展。本研究的目的是评估COPD早期检测与预防项目参与者中COPD及其他肺部疾病的患病率。该项目于2002年开展,由11家医疗机构实施。为基金参保的40岁以上主动吸烟者提供免费肺活量测定、胸部X光检查、个人及团体戒烟行为疗法,以及为确诊病理的患者提供胸科医生检查。结果证实了COPD及其他疾病的高检出率,并证实了针对性筛查对早期检测COPD及其他疾病的有效性。