吸烟者对呼吸症状的低估：慢性阻塞性肺疾病诊断中的一个难题。
Underestimation of respiratory symptoms by smokers: a thorn in chronic obstructive pulmonary disease diagnosis.
机构信息
Department of Physiology, Faculty of Medicine, University of Thessaly, BIOPOLIS, Larissa, Greece.
Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, BIOPOLIS, Larissa, Greece.
出版信息
NPJ Prim Care Respir Med. 2021 Mar 12;31(1):14. doi: 10.1038/s41533-021-00226-y.
Primary care centers are ideal positions to identify chronic obstructive pulmonary disease (COPD). We determined the COPD prevalence among ever-smokers aged 40-65 years attending a 2-year program conducted in 22 Greek primary healthcare centers and made comparisons between genders, patients less than or greater than 55 years, and newly or previously diagnosed COPD patients. A total of 117 persons, after studying 1100 people, were diagnosed with previously unknown or known COPD, providing a COPD prevalence of 10.6% among the study population. In all, 7.5% of the participants were newly diagnosed with COPD. Women with COPD reported smoking less but experienced worse respiratory and depressive symptoms than men. A total of 19% of the COPD population below 55 years experienced wheezing and exacerbations more frequently than older patients. Newly diagnosed COPD patients were significantly younger, reported a significant burden of symptoms without seeking medical help. Primary health care has a crucial role in the early detection of COPD among unsuspecting smokers.
基层医疗中心是识别慢性阻塞性肺疾病（COPD）的理想场所。我们在希腊的 22 个基层医疗中心进行了为期 2 年的项目，对 40-65 岁的所有吸烟者进行了调查，确定了 COPD 的患病率，并对性别、55 岁以上或以下的患者以及新诊断或既往诊断为 COPD 的患者进行了比较。在对 1100 人进行研究后，共有 117 人被诊断为患有先前未知或已知的 COPD，研究人群中的 COPD 患病率为 10.6%。总共有 7.5%的参与者被新诊断为 COPD。患有 COPD 的女性吸烟较少，但呼吸和抑郁症状比男性更严重。55 岁以下的 COPD 患者中有 19%比老年患者更容易出现喘息和病情加重。新诊断的 COPD 患者明显更年轻，报告有明显的症状负担，但没有寻求医疗帮助。初级卫生保健在未被怀疑的吸烟者中早期发现 COPD 方面发挥着至关重要的作用。
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