Løkke Anders, Christensen Lotte Bloch, Fuglsang Charlotte
Medicinsk Afdeling, Regionshospitalet Silkeborg, DK-8600 Silkeborg, Denmark.
Ugeskr Laeger. 2009 Oct 19;171(43):3083-8.
In Denmark, 10% of the health budget is spent on treating chronic obstructive lung disease (COPD) and the economic burden from COPD looks more than likely to grow in the near future. With this in mind we initiated a pilot project with The Danish Lung association to discover early stages of COPD by using spirometry.
A total of 344 persons from Aarhus and the surrounding area participated in a free anonymous walk-in spirometry project in the Health Centre, Aarhus. Among these, 291 persons were asked to fill in a questionnaire. A total of 135 smokers and/or persons with reduced lung function came to a second examination with yet another spirometry measurement and an advanced questionnaire. COPD staging was performed according to the GOLD and ERS/ATS criteria.
61% of the participants were women aged 60 years or older. 43% had normal lung function at the first examination. Only every fourth of those with COPD were aware of the fact that they had a lung disease. 33% would have visited their GP to have their lungs examined. 11-16% gave up smoking between the two examinations.
This rather cost-effective walk-in design makes it possible to discover a substantial group of persons with previously unknown, mild and moderate COPD prior to examination and at the same time motivate people to give up smoking. Whether this is a long-term effect has yet to be determined.
在丹麦，10%的卫生预算用于治疗慢性阻塞性肺疾病（COPD），而且在不久的将来，COPD带来的经济负担很可能会增加。考虑到这一点，我们与丹麦肺部协会发起了一个试点项目，通过肺活量测定法来发现COPD的早期阶段。
来自奥胡斯及其周边地区的344人参加了在奥胡斯健康中心开展的一项免费匿名即测即走肺活量测定项目。其中，291人被要求填写一份问卷。共有135名吸烟者和/或肺功能减退者接受了第二次检查，包括再次进行肺活量测定和填写一份详细问卷。COPD分期是根据全球慢性阻塞性肺疾病倡议（GOLD）和欧洲呼吸学会/美国胸科学会（ERS/ATS）标准进行的。
61%的参与者为60岁及以上女性。43%的人在首次检查时肺功能正常。在患有COPD的人中，只有四分之一的人意识到自己患有肺部疾病。33%的人会去看全科医生进行肺部检查。在两次检查期间，11 - 16%的人戒烟了。
这种相当经济高效的即测即走设计使得在检查前发现大量此前未知的轻度和中度COPD患者成为可能，同时还能激励人们戒烟。这是否会产生长期效果还有待确定。
