作者：王妍，闫巍，柯楠

单位：

1.北京市海淀区玉渊潭社区卫生服务中心2.首都医科大学附属复兴医院全科医学科

单位（英文）：

1.Haidian District Yuyuantan Community Health Service Center, Beijing 100142, China 2.Department of General Medicine, Fuxing Hospital, Capital Medical University, Beijing 100038, China

关键词：

肺疾病,慢性阻塞性; 诊断; 诊断不足; 综述;

关键词（英文）：

Pulmonary disease, chronic obstructive; Diagnosis; Underdiagnosis; Review

中图分类号：

DOI：

10.12114/j.issn.1008-5971.2023.00.197

基金项目：

2022年度首都全科医学研究专项课题（22QK18）

摘要：

慢性阻塞性肺疾病（COPD）是世界范围内常见的慢性呼吸系统疾病，其具有发病率高、致残率高和死亡率高的特点，而早发现、早诊断、早干预能够明显改善患者预后。然而目前全球COPD的诊断现状不容乐观，存在诊断不足的情况，导致临床上绝大多数患者确诊时病情已达中度以上，从而错过了最佳干预时机。本文通过回顾相关文献，分析COPD诊断不足的现状及其原因，指出COPD诊断不足可加重疾病负担，并提出早期规范诊断COPD的意义和对策，以期降低COPD漏诊率，从而为COPD患者的早诊断、早干预提供借鉴。

英文摘要：

Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease in the world with high morbidity, disability and mortality. Early detection, diagnosis and intervention can significantly improve the prognosis of patients. However, the current global diagnosis of COPD is not optimistic, there is insufficient diagnosis, resulting in the vast majority of patients diagnosed when the disease has reached moderate, thus missing the best opportunity for intervention. By reviewing relevant literature, this paper analyzed the current situation and causes of underdiagnosis of COPD, pointed out that underdiagnosis of COPD can increase the burden of disease, and proposed the significance and strategies of early standardized diagnosis of COPD, in order to reduce the rate of missed diagnosis of COPD, so as to provide references for early diagnosis and intervention of COPD patients.

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