摘要
目的:了解南疆地区综合医院术前常规肺功能检查的人群慢性阻塞性肺疾病患病情况。方法:对新疆生产建设兵团第一师医院需行术前常规肺功能检查的所有患者进行问卷调查和肺功能测定,包括第1秒用力呼气容积(FEV1)及用力肺活量(FVC),对FEV1/FVC<70%的受试者行支气管舒张试验,吸人沙丁胺醇气雾剂200μg后FEV1/FVC<70%者诊断为慢阻肺。并计算受检人群慢阻肺的患病率及漏诊率。结果:完成肺功能检测和问卷者共860例,平均年龄63.3±3.7岁;男390例,女470例;汉族730例,少数名族130例。最终确诊为慢阻肺290例,平均年龄66.2±2.3岁,患病率为33.7%,其中男性患病率47.2%,女性患病率22.6%;汉族患病率为34.2%,少数民族的患病率为30.8%。按年龄分层,各年龄层的患病率随年龄的增长而增高。按GOLD分级分层,以Ⅰ、Ⅱ级患病率较高分别为25.7%、43.3%。经检查确诊的慢阻肺患者中既往明确诊断者仅69例,诊断率23.8%,漏诊率达76.2%。女性漏诊率77.4%高于男性62.9%;少数民族漏诊率82.5%高于汉族75.2%。各年龄层的漏诊率基本高于80%,>70岁组较低为71.5%。而按GOLD分级分层,GOLD分级Ⅰ-Ⅳ级的漏诊率分别为87.8%、83.3%、80.6%、71.4%,以Ⅰ、Ⅱ级漏诊率较高。结论:南疆地区综合医院手术患者中慢阻肺患病率高,但诊断率低,漏诊率高。对住院患者中慢阻肺的高危人群进行肺功能的筛检是必要的、可行的。
Objective:To investigate the COPD diagnostic situation of patients who have performed routine pulmona -ry function tests before operation in a general hospital of Southern Xinjiang .Methods:The patients who have performed rou-tine pulmonary function tests before operation in a general hospital of Southern Xinjiang were recruited .A questionnaire sur-vey was conducted and spirometry was performed .COPD was defined as a ratio of forced expiratory volume in the first sec-ond of expiration to forced vital capacity ( FEV1/FVC) of less than 0.7 after use of postbronchodilator .The morbidity and underdiagnosis rate of COPD was calculated .Results:860 subjects were available for the analysis due to performing both the eligible questionnaire and the spirometry test .390 were male,470 were female,730 were the Han nationality ,130 were the minority.290 patients of the subjects were diagnosed COPD .The total prevalence rate of COPD was 33.7%(47.2%among men;22.6%among women;34.2%among the Han nationality;30.8%among the minority).The average age of COPD pa-tients is 66.2 ±2.3.Only 23.8%(69/290)of the COPD patients had been diagnosed previously .The underdiagnosis rate of COPD was 76.2%(62.9%among men;77.4%among women;75.2% among the Han nationality;82.5% among the minority).Conclusion:The morbidity and underdiagnosis rate of COPD is high in patients who have performed routine pul -monary function tests before operation in a general hospital of Southern Xinjiang .It is necessary and feasible to perform rou-tine pulmonary function tests for inpatients in general hospitals .
出处
《农垦医学》
2014年第1期22-25,共4页
Journal of Nongken Medicine
