摘要慢性阻塞性肺疾病（简称慢阻肺病）累及我国近1亿人口，已成为重大公共卫生挑战。基层医疗卫生机构是慢阻肺病综合管理策略实施的“主战场”。然而，当前基层管理存在筛查能力薄弱、资源配置不足、分级诊疗机制不畅等问题，同时公众疾病认知不足。本文基于政策导向，探讨了高危人群早期筛查、分级诊疗实践优化、基层呼吸专科门诊建设、人工智能辅助诊断的应用及国际经验借鉴等模式，通过多维度地探索基层慢阻肺病规范化管理方法，为我国慢阻肺病防控与精细化管理提供参考。

abstractsChronic obstructive pulmonary disease (COPD) affects nearly 100 million individuals in China and has become a major public health challenge. Primary healthcare institutions serve as the frontline for implementing comprehensive COPD management strategies. However, current primary care practices face multiple limitations, including inadequate screening capacity, insufficient resource allocation, suboptimal hierarchical diagnosis systems, and low public awareness of the disease. Based on policy guidance, this article explores strategies for early screening high-risk populations, optimization of hierarchical diagnosis practices, development of primary-level respiratory specialty clinics, application of artificial intelligence-assisted diagnosis, and adaptation of international experience. We explore multidimensional pathways to standardize COPD management in primary care settings, providing a reference for the prevention, control, and precision management of COPD in China.