二级甲等医院的医生对COPD诊治指南知晓度调查.pdf

二级甲等医院医生对 COPD诊治指南知晓度调查 漆 波,余 巍, 罗明兴,范远华,李金生 (九 o 三医院,四川江油 621700) =摘要 目的 了解二级综合性医院临床医生对慢性阻塞性肺疾病 ( COPD) 诊治指南的了解程度和实践应用情 况。方法 以江油市 3 所二级甲等医院所有医生为研究对象进行问卷调查。结果 只有 361 82% ( n= 95)受调查医生 认为肺功能检查是 COPD诊断的金标准, 选择常规安排患者进行肺功能检查用以确诊 COPD或评价病情的临床医生仅 131 95% ,内科和急诊科医生( n= 113)中只有 151 93% ( n= 18)以 COPD 诊治指南为依据,制定治疗方案。结论 二级甲 等医院医生对 COPD的认识和实践与现有诊治指南还存在差距, 需要加强二级甲等医院临床医生 CODP 的继续教育, 采取更积极的态度、规范化治疗, 以降低漏诊率、误诊率和病死率。 =关键词 慢性阻塞性肺疾病; 指南; 诊断; 治疗 =中图分类号 R 563 =文献标识码 A =文章编号 1672-3511( 2010) 12-2363-03 Clinicians. knowledge of guidelines for management of COPD in secondary general hospitals QI Bo, YU Wei, LUO Ming-xing, et al ( 903 H ospi tal, J iang you 621700, S ic huan, Ch ina) =Abstract Objective T o get t he know ledge of how w ell clinicians know about and use t he guidelines for manage- ment of COPD. Methods w e completed a questionnair e sur vey on COPD of all the clinicians in the three secondary gener- al hospitals in one o f the cities in Sichuan. Results Only 361 82 % ( n= 95) o f surv eyed clinicians report ed use o f spirome- tr y to diagnose COPD but only 131 95 % ( n= 36) clinicians said they w ould ar range spirometry to diagno se o r evaluate the severity of COPD, 151 93% ( n= 18) o f them chose guidelines fo r the management o f COPD as the basis o f tr eat ment fo r COPD. Conclusion There a re still g aps between the guidelines and clinicians. know ledge o f COPD in seconda ry general ho spit als. T he continuing education for clinicians in general hospitals should be strengt hen to r ea lize that clinicians w ill ho ld a more active attit ude, choo se reasonable treating plan and run a standardized tr eat ment to decrease misdiagnosis, mistreaatment and fatality rate of COPD. =Key word Chronic Obstructiv e Pulmonar y Disease; Guidelines; Diagnosis; T reatment 慢性阻塞性肺疾病( Chr onic Obstr uctiv e Pulmo- nary Disease, COPD) 是一种具有气流受限特征的慢 性疾病, COPD患病人数多,病死率高, 社会经济负担 沉重,已经成为全球范围内一个重要的公共卫生问 题。COPD在一般人群中发病率高、病程长这两个特 点决定了这类患者多在基层医院门诊就诊或住院治 疗,基层