| 摘要: |
| ［摘要］ 慢性阻塞性肺疾病(COPD)是一种以持续呼吸道症状和气流受限为特征的常见慢性呼吸系统疾病，具有高发病率、高致残率和高死亡率的特点。据世界卫生组织预测，到2030年COPD将成为第三大全球死亡原因的慢性疾病，造成重大经济负担。由于早期COPD起病隐匿，部分患者对咳嗽、咳痰等临床症状认识不足，肺功能检查普及率低等原因，COPD早期临床诊断和早期有效治疗的比例极低，延误了诊断和治疗的最佳时间。早诊断、早治疗可延缓肺功能衰退的进展，减少急性加重次数，降低住院率，并提高早期COPD患者的生活质量。因此，有必要加强对COPD进行早期筛查，从而实现早诊断、早干预、早治疗。该文总结近几年国内外相关文献，对COPD早期筛查方式的研究进展作一综述。 |
| 关键词: 慢性阻塞性肺疾病 早期筛查 肺功能检查 |
| DOI：10.3969/j.issn.1674-3806.2025.01.05 |
| 分类号:R 563 |
| 基金项目:国家自然科学基金项目（编号：82070057）；湖南省科学技术厅芙蓉实验室科研攻关项目（编号：2023SK2110-2） |
|
| Research progress of early screening methods for chronic obstructive pulmonary disease |
|
LI Jing, JIANG Yongliang
|
|
Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Hunan Normal University(Hunan Provincial People′s Hospital), Changsha 410000, China
|
| Abstract: |
| ［Abstract］ Chronic obstructive pulmonary disease(COPD) is a common chronic respiratory disease characterized by persistent respiratory symptoms and airflow limitation, with high morbidity, disability and mortality. According to the World Health Organization′s prediction, COPD will become the third leading chronic diease causing deaths around the world by 2030, imposing substantial economic burden. Due to the insidious onset of early COPD, insufficient understanding of clinical symptoms such as cough and sputum in some COPD patients, and low popularity rate of pulmonary function test, the proportion of early clinical diagnosis and effective treatment of COPD is extremely low, which delays the optimal time for diagnosis and treatment of COPD. Early diagnosis and treatment can delay the progression of pulmonary function decline in COPD patients, reduce the times of acute exacerbation and the hospitalization rate, and improve the quality of life in early COPD patients. Therefore, it is necessary to strengthen the early screening of COPD, so as to achieve early diagnosis, early intervention and early treatment.In this paper, the relevant literature at home and abroad in recent years is summarized, and the research progress of early screening methods for COPD is reviewed. |
| Key words: Chronic obstructive pulmonary disease(COPD) Early screening Pulmonary function test |
