调查问卷结合肺功能检查在基层医院慢阻肺筛查中的价值

Abstract: Objective To analyze the value of questionnaires combined with pulmonary function tests in the screening of chronic obstructive pulmonary disease (COPD) in primary hospitals. Methods A total of 536 physical examinees who underwent pulmonary function tests in our hospital from January 2024 to December 2024 were selected as the research subjects. All physical examinees first received the chronic obstructive pulmonary disease screening questionnaire (COPD-SQ) score survey, and then underwent pulmonary function tests. The application value of COPD-SQ score in COPD screening in primary hospitals was analyzed. According to the results of pulmonary function tests, they were divided into the control group and the study group. Basic data of the two groups were collected to analyze the risk factors for the occurrence of COPD. Results Among the 536 physical examinees, 126 cases had a COPD-SQ score of ≥16 points and 410 cases had a COPD-SQ score of＜16 points. Among 536 physical examinees, 56 cases were diagnosed with COPD through pulmonary function tests. The specificity of COPD-SQ score in diagnosing COPD was 85.42% (410/480), the sensitivity was 100.00% (56/56), the positive predictive value was 44.44% (56/126), and the negative predictive value was 100.00% (410/410). Gender, age, smoking history, dust exposure history, and family history of respiratory diseases are risk factors for the occurrence of COPD, while body mass index was a protective factor for COPD (P＜0.05). Conclusion Conducting pulmonary function tests after initially screening high-risk groups through the COPD questionnaire can improve the efficiency and accuracy of COPD screening in primary hospitals and is worthy of promotion.