CAJ | 학술논문

目的：调查豫南地区内科医师对慢性阻塞性肺疾病（慢阻肺）的基本认识和诊治行为现状。方法：设计调查问卷，对豫南地区9个县共15家医院的内科医师进行调查，采用SAS 6．12软件进行统计学分析。结果：共收回有效问卷135份。80．7％（109／135）的医师了解慢阻肺的流行病学，31．8％（43／135）的医师了解疾病特征，其中呼吸专业组为44．4％（20／45），显著高于非呼吸专业组25．5％（23／90），P＜0．05。以临床症状诊断慢阻肺的医师占66．6％（90／135），以临床症状及肺功能诊断慢阻肺的医师占33．3％（45／135），其中呼吸专业组为60．0％（27／45），显著高于非呼吸专业组（20．0％，18／90），P＜0．05。慢阻肺急性加重期的治疗基本符合指南，但对机械通气认识不足者占50．3％（68／135）。关于慢阻肺稳定期的药物治疗，推荐糖皮质激素联合支气管扩张剂吸入的医师占57．7％（78／135），其中呼吸专业组为88．8％（40／45），显著高于非呼吸专业组（42．2％，38／90），P＜0．05。非呼吸专业组对家庭氧疗、呼吸功能锻炼、营养支持的认识尚不足，全面了解上述知识者仅占11．1％（10／90）。结论：加强对豫南地区内科医师特别是非呼吸科医师进行有关慢阻肺的宣传教育并推广治疗指南仍是今后工作的重点。
목적：조사예남지구내과의사대만성조새성폐질병（만조폐）적기본인식화진치행위현상。방법：설계조사문권，대예남지구9개현공15가의원적내과의사진행조사，채용SAS 6．12연건진행통계학분석。결과：공수회유효문권135빈。80．7％（109／135）적의사료해만조폐적류행병학，31．8％（43／135）적의사료해질병특정，기중호흡전업조위44．4％（20／45），현저고우비호흡전업조25．5％（23／90），P＜0．05。이림상증상진단만조폐적의사점66．6％（90／135），이림상증상급폐공능진단만조폐적의사점33．3％（45／135），기중호흡전업조위60．0％（27／45），현저고우비호흡전업조（20．0％，18／90），P＜0．05。만조폐급성가중기적치료기본부합지남，단대궤계통기인식불족자점50．3％（68／135）。관우만조폐은정기적약물치료，추천당피질격소연합지기관확장제흡입적의사점57．7％（78／135），기중호흡전업조위88．8％（40／45），현저고우비호흡전업조（42．2％，38／90），P＜0．05。비호흡전업조대가정양료、호흡공능단련、영양지지적인식상불족，전면료해상술지식자부점11．1％（10／90）。결론：가강대예남지구내과의사특별시비호흡과의사진행유관만조폐적선전교육병추엄치료지남잉시금후공작적중점。
Objective:To investigate the current situation of basic knowledge and diagnosis and treatment behavior for chronic obstructive pulmonary disease (COPD) among physicians of South Henan area .Methods:Questionnaire was designed for a research ,which was conducted among physicians from 15 hospitals located in 9 counties ,and the data were analyzed by using SAS 6 .12 software .Results:A total of 135 valid questionnaires were collected .And 80 .7% (109/135)of the physicians understood the epidemiology of COPD ,while 31 .8% (43/135) of them understood the disease characteristics .The proportion of physicians who understood the disease characteristics in respiratory professional group was 44 .4% (20/45) ,which was significantly higher than that (25 .5% ,23/90) in non‐respiratory professional group (P<0 .05) .Furthermore ,66 .6% (90/135) of the physicians diagnosed disease by clinical symptoms ,while 33 .3% (45/135) of them diagnosed disease by clinical symptoms and pulmonary function .The proportion of physicians who diagnoses disease by clinical symptoms and pulmonary function in respiratory professional group was 60 .0% (27/45) ,which is significantly higher than that 20 .0% (18/90) in non‐respiratory professional group (P< 0 .05) .Therapy for acute exacerbation of COPD was nearly conformed to the treatment guidelines ,however ,50 .3% (68/135)of physicians did not completely understand mechanical ventilation .For therapy of stable COPD ,57 .7% (78/135) of physicians recommended inhaled glucocorticosteroids combined with beta‐2‐receptor agonist .The proportion of physicians who recommended inhaled glucocorticosteroids combined with beta‐2‐receptor agonist in respiratory professional group was 88 .8% (40/45) ,which was significantly higher than that 42 .2% (38/90) in non‐respiratory professional group (P<0 .05) .Non‐respiratory professional group were lack of knowledge of home oxygen therapy ,respiratory exercises , and nutritional support .Only 11 .1% (10/90) physicians in the non‐respiratory professional group understood the knowledge comprehensively .Conclusions:It is key to enhance the education of COPD and popularize the treatment guideline among the physicians ,especially non‐respiratory physicians ,in South Henan area .