Department of Cardiopulmonary Sciences, Northeastern University, Boston, MA 02115-5000, USA.
Clin Interv Aging. 2011;6:47-52. doi: 10.2147/CIA.S15164. Epub 2011 Jan 27.
To describe a practical method for family practitioners to stage chronic obstructive pulmonary disease (COPD) by the use of office spirometry.
This is a review of the lessons learned from evaluations of the use of office spirometry in the primary care setting to identify best practices using the most recent published evaluations of office spirometry and the analysis of preliminary data from a recent spirometry mass screening project. A mass screening study by the American Association for Respiratory Care and the COPD Foundation was used to identify the most effective way for general practitioners to implement office spirometry in order to stage COPD.
A simple three-step method is described to identify people with a high pre-test probability in an attempt to detect moderate to severe COPD: COPD questionnaire, measurement of peak expiratory flow, and office spirometry. Clinical practice guidelines exist for office spirometry basics for safety, use of electronic peak flow devices, and portable spirometers.
Spirometry can be undertaken in primary care offices with acceptable levels of technical expertise. Using office spirometry, primary care physicians can diagnose the presence and severity of COPD. Spirometry can guide therapies for COPD and predict outcomes when used in general practice.
描述一种家庭医生通过使用办公式肺量计来对慢性阻塞性肺疾病（COPD）进行分期的实用方法。
这是对在初级保健环境中使用办公式肺量计的评估中所获得经验的回顾，使用了最近发表的关于办公式肺量计的评估和对近期大规模肺量筛查项目的初步数据分析，以确定使用办公式肺量计的最佳实践。美国呼吸护理协会和 COPD 基金会的一项大规模筛查研究用于确定普通医生实施办公式肺量计以对 COPD 进行分期的最有效方法。
描述了一种简单的三步方法，以识别具有高术前概率的人群，试图检测中重度 COPD：COPD 问卷、呼气峰流速测量和办公式肺量计。存在针对办公式肺量计基本原理的临床实践指南，包括安全性、电子峰流速仪和便携式肺量计的使用。
办公式肺量计可在初级保健办公室进行，且具有可接受的技术专业水平。使用办公式肺量计，初级保健医生可以诊断 COPD 的存在和严重程度。当在一般实践中使用时，肺量计可以指导 COPD 的治疗并预测结局。
