摘要慢性阻塞性肺疾病（简称慢阻肺病）是最常见的慢性气道疾病，其筛查、早诊及长期管理主要依托基层医疗卫生机构。为更好地落实国家基本公共卫生服务项目中关于慢阻肺病的规范化管理要求，并为基层医务人员提供工作指导，我国呼吸病学、全科医学、中医学、护理学等相关领域的专家共同编写了本指南。本指南旨在提升基层慢阻肺病的综合管理能力，改善患者预后，具体内容包括：明确基层医疗管理团队的组建、设备配置及药物储备标准；优化慢阻肺病的筛查和诊疗流程；细化肺功能检查的质量控制与报告解读；强化稳定期患者的非药物干预；规范急性加重期的识别与双向转诊路径；融入中医药特色与呼吸护理重点；完善健康档案与随访管理体系。

abstractsChronic obstructive pulmonary disease (COPD) is the most common chronic airway disease, with its screening, early diagnosis, and long-term management primarily relying on primary healthcare institutions. To better implement the standardized management requirements for COPD outlined in the National Basic Public Health Service Program and provide operational guidance for primary healthcare providers, experts from relevant fields including respiratory medicine, general practice, traditional Chinese medicine, and nursing have jointly developed this guideline. This guideline aims to enhance primary care's comprehensive management capabilities for COPD and improve patient outcomes. Specific content includes: defining standards for establishing primary care management teams, equipment configuration, and medication stockpiling; optimizing screening and diagnostic/treatment processes for COPD; refining quality control and report interpretation for pulmonary function testing; strengthening non-pharmacological interventions for stable-phase patients; Standardizing the identification of acute exacerbations and establishing bidirectional referral pathways; Integrating distinctive features of traditional Chinese medicine and key respiratory nursing practices; Improving health record management and follow-up systems.