普通人群中慢性阻塞性肺疾病（COPD）症状的高患病率与该疾病的低知晓率形成对比。
High prevalence of COPD symptoms in the general population contrasting with low awareness of the disease.
作者信息
Roche N, Perez T, Neukirch F, Carré P, Terrioux P, Pouchain D, Ostinelli J, Suret C, Meleze S, Huchon G
机构信息
Service de pneumologie et réanimation, université Paris Descartes, Hôtel Dieu, 1, place du Parvis-de-Notre-Dame, 75004 Paris, France.
出版信息
Rev Mal Respir. 2011 Sep;28(7):e58-65. doi: 10.1016/j.rmr.2011.06.007. Epub 2011 Jul 30.
INTRODUCTION
Chronic obstructive pulmonary disease (COPD) is underdiagnosed because of limited disease awareness with trivialization of the symptoms in the general population.
METHODS
A survey was conducted in a representative sample (n=2758) of individuals older than 40 years of age in the general population of France. Respiratory symptoms and knowledge about COPD were assessed in individuals with or at risk for COPD (n=860, 31% of the sample).
RESULTS
In the overall sample, 40% of individuals had a Medical Research Council dyspnea grade of 1 or more but only 9% spontaneously reported shortness of breath. Of these 9%, 72% reported limitations to their daily activities but only 14% believed they had severe lung disease. In the overall sample, only 220 (8%) individuals knew the term COPD and only 66% associated the term COPD with respiratory disease.
CONCLUSIONS
Despite a large proportion of individuals at risk for COPD or having COPD and a high prevalence of breathlessness, awareness of respiratory symptoms and knowledge of COPD were limited. These findings indicate a need for educating the general population about COPD.
引言
由于普通人群对慢性阻塞性肺疾病（COPD）的认识有限，且症状被轻视，COPD存在诊断不足的情况。
方法
对法国普通人群中40岁以上的代表性样本（n = 2758）进行了一项调查。对患有COPD或有COPD风险的个体（n = 860，占样本的31%）评估了呼吸道症状和对COPD的了解情况。
结果
在整个样本中，40%的个体医学研究委员会呼吸困难分级为1级或更高，但只有9%的人自发报告有气短症状。在这9%有气短症状的人中，72%报告日常活动受限，但只有14%的人认为自己患有严重的肺部疾病。在整个样本中，只有220人（8%）知道COPD这个术语，只有66%的人将COPD这个术语与呼吸道疾病联系起来。
结论
尽管有很大比例的个体有患COPD的风险或患有COPD，且气短患病率很高，但对呼吸道症状的认识和对COPD的了解仍然有限。这些发现表明有必要对普通人群进行COPD相关教育。
Zotero 插件