Current Situation of Diagnosis and Treatment of COPD in Western Rural Area of China_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

TangYongjiang , ZhouHaixia , LiuQianqian ,  OuXuemei

Department of Respiratory Medicine, West China Hospital, Chengdu, Sichuan, 610041, China;

Corresponding?author：

OuXuemei, Email: ouxuemei@163.com

Keywords：

Chronic obstructive pulmonary disease; Rural area; Diagnosis; Treatment

DOI：

10.7507/1671-6205.2014056

Video：

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Objective To evaluate the disease characteristics,medical consultation model and barrier to get basic medical service rural patients with chronic obstructive pulmonary disease(COPD) in Chinese western. Methods The subjects were collected from a COPD epidemiology study conducted in Western rural district.The factors which were associated with disease characteristics,medical consultation model,and barrier to get basic medical service were analyzed by questionnaire,individual conversation,and laboratory tests. Results This study enrolled 343 COPD patients confirmed by spirometry test.118 subjects consulted their doctors frequently because of apparent symptom.73(62%) subjects had symptom with 5 to 10 years,while 22(19%) subjects with more than 10 years.Among the symptomatic COPD subjects,only 2(2%) cases were diagnosed as COPD previously,15(13%) subjects with chronic bronchitis,and only 1(1%) subject underwent spirometry test.110(93%) subjects were prescribed as antibiotics,68(58%) subjects with theophylline,5(4%) subjects with ICS+LABA.COPD education was acceptable in most subjects(98%),however,the regular follow-up was acceptable in only 26% of subjects. Conclusion Lack of disease information,inappropriate medical consultation model,and irregular COPD management in primary care are the major factors which influence diagnosis and treatment of COPD in Western rural area of China.

Citation： TangYongjiang, ZhouHaixia, LiuQianqian, OuXuemei. Current Situation of Diagnosis and Treatment of COPD in Western Rural Area of China. Chinese Journal of Respiratory and Critical Care Medicine, 2014, 13(3): 233-236. doi: 10.7507/1671-6205.2014056 Copy

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2.	Global Initiative for Chronic Obstructive Lung Disease (GOLD).Global strategy for the diagnosis,management and prevention of COPD.GOLD workshop report,updated 2014.http://www.goldcopd.org.
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1. Zhong N,Wang C,Yao W,Chen P,et al.Prevalence of chronic obstructive pulmonary disease in China:a large,population-based survey.Am J Respir Crit Care Med,2007,176:753-760.
2. Global Initiative for Chronic Obstructive Lung Disease (GOLD).Global strategy for the diagnosis,management and prevention of COPD.GOLD workshop report,updated 2014.http://www.goldcopd.org.
3. 洪秀琴,戴愛國,尹培生,等.農村居民慢性阻塞性肺疾病及影響因素分析.中國公共衛生,2012,28:442-445.
4. 馬睿,程齊儉,姚迪,等.上海地區老年人慢性阻塞性肺部疾病的流行病學研究.上海第二醫科大學學報,2005,25:521-524.
5. Lange P,Marott JL,Vestbo J,et al.Prediction of the clinical course of chronic obstructive pulmonary disease,using the new GOLD classification:a study of the general population.Am J Respir Crit Care Med,2012,186:975-981.
6. Han MK,Muellerova H,Curran-Everett D,et al.GOLD 2011 disease severity classification in COPD Gene:a prospective cohort study.Lancet Respir Med,2013,1:43-50.

Chinese Journal of Respiratory and Critical Care Medicine

Current Situation of Diagnosis and Treatment of COPD in Western Rural Area of China

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