摘要
目的了解无症状慢性阻塞性肺疾病(COPD)患者的临床特点。方法对在2010年1月至2011年12月在天津市职业病防治院健康体检的36 231人次进行调查,筛检出1042例COPD患者,遂进行问诊、体检,调查问卷并进行肺功能检查。结果无症状COPD患者432例,总患病率为1.19%;有症状COPD患者610例,总患病率为1.68%。无症状组和有症状组患者性别、年龄、职业、婚姻状况、受教育程度和吸烟情况比较差异均无统计学意义(P>0.05)。肺功能检测显示,无症状组第一秒用力呼气容积(FEV1)、第一秒用力呼气容积占预计值百分比(FEV1占预计值%)与有症状组比较,差异均有统计学意义(P<0.05)。结论早期肺功能受损不太严重时临床症状不明显,因而造成COPD的漏诊和对疾病危害的低估,而早期COPD的诊断需要检测肺功能。
Objective To analyze the clinical characteristics of non-symptomatic patients with chronic obstructive pulmonary disease（COPD）.Methods One thousand and forty-two patients with obstructive pulmonary disease were screened out of 36 231 persons from health examination during January 2010 to December 2011.Then,survey the patients with COPD by questionnaire,pulmonary function test.Results The prevalence of COPD was 2.87%（1042/36 231）.In these 1042 patients,432 cases（41.46%） were non-symptomatic and 610 cases（58.54%） were symptomatic.There was no statistical difference in the sex,age,occupation,marriage status,education level or smoking index between the symptomatic and the non-symptomatic groups（all P0.05）.Conclusion The prevalence of non-symptomatic COPD was high and the COPD prevalence might be underestimated due to the symptom free patients.
出处
《临床医学》
CAS
2013年第2期23-25,共3页
Clinical Medicine
关键词
慢性阻塞性肺疾病
无症状慢性阻塞性肺疾病
肺功能
Chronic obstructive pulmonary disease
Non-symptomatic chronic obstructive pulmonary disease
Lung function
