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应重视慢阻肺社区筛查适宜技术的研究与推广 被引量:17

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摘要 我国40岁及40岁以上人群的慢性阻塞性肺疾病(慢阻肺)患病率为8.2%,严重程度为Ⅰ级和Ⅱ级(轻度和中度)的慢阻肺患者所占比例高达70.7%.然而,这些患者几乎无气促(包括活动后气促),或者仅有慢性咳嗽、咳痰等症状.由于患者容易忽视上述轻微症状,只有35.1%的患者曾经被诊断为慢阻肺,其诊断率远远低于患病率.在所有患者中,仅有不到25%的患者曾经主动就诊.医生在临床上遇到的患者往往是在出现活动后气促,甚至安静状态下气促等症状时才寻医的,这些出现症状的慢阻肺患者,其肺功能(FEV1占预计值%)至少低于60%,即使是轻度慢阻肺(Ⅰ级)患者,尽管其FEV1占预计值%仍>80%,但是,其气道容积和表面积比值均明显增高,提示已经存在气道壁增厚[2].
作者 冉丕鑫
出处 《中华结核和呼吸杂志》 CAS CSCD 北大核心 2015年第2期87-88,共2页 Chinese Journal of Tuberculosis and Respiratory Diseases
基金 国家“十二五”科技支撑计划(2012BA10501)
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参考文献16

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二级参考文献13

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