摘要
目的研究肺尘埃沉着病并发慢性阻塞性肺疾病的相关影响因素。方法选取2008年1月~2015年1月来江苏省疾病预防控制中心进行体检并经肺尘埃沉着病诊断组确诊的936例在岗煤粉尘接触人员作为研究对象。收集肺尘埃沉着病患者的一般资料,并对患者进行肺功能检查,以确定是否合并慢性阻塞性肺疾病。采用Logistic回归分析肺尘埃沉着病患者并发慢性阻塞性肺疾病的危险因素。结果最终纳入905例患者作为研究对象,其中158例患者合并有慢性阻塞性肺疾病。合并与未合并慢性阻塞性肺疾病患者的年龄、接尘工龄、肺尘埃沉着病分期、吸烟情况、吸烟指数及体重指数比较,差异均有统计学意义（均P〈0.05）。Logistic回归分析显示,年龄、接尘工龄、肺尘埃沉着病分期、吸烟指数、体重指数是肺尘埃沉着病患者并发慢性阻塞性肺疾病的危险因素（均P〈0.01）。结论年龄、接尘工龄、肺尘埃沉着病分期、吸烟指数、体重指数影响着肺尘埃沉着病患者的慢性阻塞性肺疾病的发病率。
Objective To Study the related influencing factors of pneumoconiosis complicated with chronic obstructive pulmonary disease. Methods Nine hundred and thirty-six cases of coal dust exposure workers on duty diagnosed by pneumoconiosis diagnosis group and examined in Jiangsu Provincial Center for Disease Control and Prevention from January 2008 to January 2015 were selected as research objects. The clinical data of the patients with pneumoconiosis were collected, and the lung function of patients were detected, so as to confirm whether there were chronic obstructive pulmonary diseases. Logistic regression analysis was used to analyze the risk factors of pneumoconiosis complicated with chronic obstructive pulmonary disease. Results At last, total 905 cases of patients were enrolled in this study, among whom, there were 158 cases of patients with chronic obstructive pulmonary disease. There were all statistically significant differences of the incidence of chronic obstructive pulmonary disease of different ages, exposure working ages, pneumoconiosis stages, smoking status, smoking indexes and body mass indexes between the patients with chronic obstructive pulmonary disease and the patients without chronic obstructive pulmonary disease（all P〈0.05）. Logistic regression analysis showed that, ages, exposure working ages, pneumoconiosis stages, smoking indexes and body mass indexes were the risk factors of patients with pneumoconiosis complicated with chronic obstructive pulmonary disease（all P〈0.01）. Conclusion The ages, exposure working ages, pneumoconiosis stages, smoking indexes and body mass indexes affect the incidence of chronic obstructive pulmonary disease in patients with pneumoconiosis.
出处
《中国医药导报》
CAS
2016年第31期85-88,共4页
China Medical Herald
关键词
肺尘埃沉着病
慢性阻塞性肺疾病
危险因素
Pneumonoconiosis
Chronic obstructive pulmonary disease
Risk factors
