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破解基层慢性阻塞性肺疾病早诊难题:从公卫政策到防治体系建设的思考

Addressing the challenge of early COPD diagnosis at the primary care level: Reflections from public health policies to healthcare system development

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【作者】 龚钊乾赵文驱陈垚欣赵海金

【Author】 GONG Zhaoqian;ZHAO Wenqu;CHEN Yaoxin;ZHAO Haijin;Chronic Airways Diseases Laboratory, Department of Respiratory and Critical Care Medicine, Nanfang Hospital, Southern Medical University;

【通讯作者】 赵海金;

【机构】 南方医科大学南方医院呼吸与危重症医学科慢性气道疾病实验室

【摘要】 慢性阻塞性肺疾病(慢阻肺病)是一种常见的慢性气道炎症性疾病,患病率和死亡率高,对我国公民健康和医疗经济造成沉重负担。基层慢阻肺病早期诊断率低一直以来都是临床较为关注的热点问题,如何提高基层慢阻肺病早诊率是目前迫切需要解决的一大难题。该文总结了当前国家层面在提高基层慢阻肺病早诊率的政策和各地落实情况,以期协助提高基层慢阻肺病早诊率,优化慢阻肺病的诊疗管理。

【Abstract】 Chronic obstructive pulmonary disease(COPD) is a widespread chronic inflammatory respiratory condition characterized by high morbidity, affecting approximately 100 million individuals in China. It represents a significant public health concern and imposes considerable socioeconomic costs. Historically, the rate of early diagnosis for COPD has been low, presenting a persistent challenge in clinical practice. Enhancing early detection therefore remains a critical and urgent priority. This study provides a comprehensive review of existing national-level policies aimed at improving early COPD diagnosis within primary healthcare settings, as well as their regional implementation status. The dual objectives of this analysis are to support the enhancement of early diagnosis rates and to contribute to the optimization of COPD clinical management frameworks.

【基金】 国家自然科学基金项目(编号:82370029);广东省自然科学基金项目(编号:2023A1515010406);南方医科大学南方医院临床研究专项项目(编号:2023CR008)
  • 【文献出处】 实用医学杂志 ,The Journal of Practical Medicine , 编辑部邮箱 ,2025年16期
  • 【分类号】R563.9
  • 【下载频次】48
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