摘要
目的调查川滇黔结合部城乡居民慢性阻塞性肺疾病(COPD)的患病情况并分析其可能的影响因素。方法 2015年1—12月采用整群抽样抽取川滇黔结合部4地市40岁以上居民1 768人进行肺功能检测,调查COPD患病率,同时用自行设计问卷探索COPD可能的影响因素。结果共检出COPD病人145人,平均患病率为8.2%;在≥60~<70岁年龄段男女患病率分别为11.3%和5.9%,差异有统计学意义(χ~2=4.147,P=0.042);年龄、吸烟、体质指数、相关疾病家族史、职业暴露等是COPD的重要影响因素,其OR分别为1.859、2.411、0.844、1.271和1.733。结论川滇黔结合部地区COPD患病率与全国水平相当,老年人和男性是高危人群;加强健康教育,积极控烟,加强职业防护是预防COPD的重要手段。
Objective To investigate the prevalence of COPD among urban and rural residents in 4 joint regions of Sichuan,Yunnan and Guizhou,and to explore the possible influence factors. Methods From January to December in 2015,1 768 urban and rural residents over 40 years old were sampled by cluster sampling to detect pulmonary function for investigating the prevalence of COPD,and to explore the possible influence factors by self-designed questionnaire. Results A hundred and forty-five COPD patients were identified among 1 768 respondents with the prevalence of 8. 2%. There was significant difference in prevalence rate between male(11. 3%) and female(5. 9%) in age group of ≥60-< 70 years old(χ~2= 4. 147,P = 0. 042). Age,smoking,body mass index,family history and occupational exposure were the vital influence factors of COPD with OR being 1. 859,2. 411,0. 844,1. 271 and 1. 733,respectively.Conclusions The prevalence of COPD in 4 joint regions of Sichuan,Yunnan and Guizhou is similar to the national average level. The old and the males are high risk population. To enhance health education,active tobacco control and promotion of occupational protection are most important means for COPD prevention.
出处
《安徽医药》
CAS
2017年第3期514-518,共5页
Anhui Medical and Pharmaceutical Journal
关键词
肺疾病
慢性阻塞性
患病率
健康状况差异
农村人口
市区人口
危险因素
横断面研究
Pulmonary disease
chronic obstructive
Prevalence
Health status disparities
Rural population
Urban population
Risk factors
Cross-sectional studies
