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[中国北方三级医院医生慢性阻塞性肺疾病知识横断面调查]

[A cross-sectional survey of the knowledge on chronic obstructive pulmonary disease in physicians of tertiary hospitals in Northern China].

作者信息

Zhou X M, Wu C, Zhao L, Gao Y Z, Yuan Y, Xiao X X, Lu Y

机构信息

Department of Respiratory Medicine, the Shengjing Hospital of China Medical University, Shenyang 110004, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2016 Sep 1;55(9):717-20. doi: 10.3760/cma.j.issn.0578-1426.2016.09.012.

Abstract

To investigate physicians' knowledge about chronic obstructive pulmonary disease (COPD) in tertiary hospitals in northeast China. Physicians from 77 tertiary hospitals in northeast China were surveyed with a questionnaire, which included questions such as risk factors, symptoms, exacerbations, comorbidities and diagnostic criteria of COPD. Besides cigarette smoking, air pollution and pulmonary infections, only 22.5%(40/178) physicians recognized that the biomass fuels may induce COPD. Totally 59.0%(105/178) physicians recognized the importance of spirometry to the diagnosis of COPD. Besides dyspnea, cough, sputum production, wheezing and chest tightness, only 23.7%(42/177) of physicians considered that limitation of activity was an important symptom of COPD. 65.5%(116/177) physicians believed that recurrent lung infections was one of the most important comorbidities of COPD. However, less than 30%[20.9%(37/177)-28.8%(51/177)] physicians were aware of the other important comorbidities. The physicians of tertiary hospitals in northeast China need to be systematically educated on COPD to meet the new guideline.

摘要

调查中国东北地区三级医院医生对慢性阻塞性肺疾病(COPD)的认知情况。对中国东北地区77家三级医院的医生进行问卷调查,问卷内容包括COPD的危险因素、症状、急性加重、合并症及诊断标准等问题。除吸烟、空气污染和肺部感染外,仅22.5%(40/178)的医生认识到生物质燃料可能诱发COPD。共有59.0%(105/178)的医生认识到肺功能测定对COPD诊断的重要性。除呼吸困难、咳嗽、咳痰、喘息和胸闷外,仅23.7%(42/177)的医生认为活动受限是COPD的重要症状。65.5%(116/177)的医生认为反复肺部感染是COPD最重要的合并症之一。然而,不到30%[20.9%(37/177)-28.8%(51/177)]的医生了解其他重要合并症。中国东北地区三级医院的医生需要接受关于COPD的系统教育,以符合新指南的要求。

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