摘要
目的:了解慢性阻塞性肺疾病(COPD)发病的城乡分布,为城乡COPD的防治工作提供针对性政策依据。方法:比较城市农村基线资料的异同,不同环境人群患病率、危险因素以及诊治情况异同。全部数据采用SPSS11.5进行分析,显著性水平取α=0.05。结果:将年龄构成标准化后,农村患病率高于城市。危险因素比较,非条件Logistic回归单因素分析示,农村中除室外空气污染、使用柴草烹饪时间与城市中室内灰尘、厨房通风两对危险因素不同外,其余经常下厨、吸烟、吸烟指数、性别、年龄、家族史、儿时咳嗽史均相似,教育程度均为保护性因素。农村的诊断率较城市低,而漏诊率偏高,接受治疗患者的比例远低于城市,但城市较农村诊断的一致性系数差。结论:农村患病率高于城市,城市、农村的危险因素基本相同,农村的诊断率较城市低,而漏诊率偏高。
Objective：To find out the distribution of chronic obstructive pulmonary disease （COPD） prevalence in city and country, compare the difference of prevalence, risk factors, diagnosis and therapy of COPD between city and country, and provide hygiene policy for COPD prevention and treatment. Methods： The data was compared between city and country. All data was analyzed by SPSS 11.5, and α = 0.05 was taken for test level. Results： After data was standardized by age, the prevalence of COPD in country was higher than that in city. Risk factors analyzed by one-way non-conditional logistic regression. Air pollution and firewood using time in country were different to dust in room and kitchen ventilation in city. The risk factors such as cooking, smoking, smoking index, sex, age, family history and coughing history in childhood were consistent. Education degree was protective factor in city and country. Lower diagnosis rate, higher misdiagnosis rate and significant lower therapy rate were found in country. The consistent coefficient of diagnosis in city was lower than that in country. Conclusion： The prevalence of COPD in country is higher than that in city. The risk factors are consistent in country and city. Diagnosis rate is lower and misdiagnosis rate is higher in country.
出处
《天津医药》
CAS
北大核心
2007年第7期488-490,共3页
Tianjin Medical Journal
基金
国家"十五"科技攻关资助项目(项目编号:2001BA703B03)
关键词
肺疾病
慢性阻塞性
城市
乡村
患病率
危险因素
pulmonary disease, chronic obstructive cities rural prevalence risk factors
