北京市延庆县慢性阻塞性肺疾病流行病学调查结果  

Epidemiological data of chronic obstructive pulmonary disease in Yanqing County in Beijing

作　　者：姚婉贞[1] 朱红[1] 沈宁[1] 韩翔[1] 梁岩静[1] 张立强[1] 孙永昌[1] 郝振婷[1] 赵鸣武[1] 

机构地区：[1]北京大学第三医院呼吸科,北京100083

出　　处：《北京大学学报（医学版）》2005年第2期121-125,共5页Journal of Peking University:Health Sciences

基　　金：国家"十五"科技攻关项目 ( 2001BA703B03 )资助~~

摘　　要：目的: 了解北京市农村地区慢性阻塞性肺疾病(COPD)的流行病学特点和易患因素。方法: 对北京市延庆县 5个自然村中 40岁以上的 1 624人进行入户调查。包括问诊(居住状况、生活和烹饪习惯、吸烟史、个人史、家族史和既往史等)、体检、填写流行病学调查问卷并进行肺功能检查。结果: 该地区COPD总患病率为 9. 11%,其中男性为 15. 05%,女性为 3. 76%。性别、年龄、吸烟史、家族史、14岁前经常咳嗽的病史、体重指数等因素在COPD组与非COPD组相比差异有统计学意义。该地区肺心病占COPD的发生率为 18. 24%,占 40岁以上人口的1. 66%。结论: COPD和肺心病在该地区患病率很高,性别、年龄、吸烟史、家族史、14岁前经常咳嗽的病史、体重指数与COPD的发生有密切的关系,而其他如室内、外环境,职业暴露等因素尚有待进一步的研究。COPD是严重危害人民健康的重大疾病,应得到重视。Objective: To evaluate the epidemiological characteristic and risk factors of chronic obstructive pulmonary disease (COPD) in the rural area of Beijing. Methods: The data of 1 624 people aged more than 40 in 5 villages in Yanqing County in Beijing were collected. The habitation condition, life and cooking habit, smoking history, personal history and family history were asked, and their physical examinations and lung function tests were conducted. Results: The prevalence of COPD was 9.11% in this area, 15.05% in males and 3.76% in females. There were significant differences in sex, age, smoking history, family history, frequent cough before age 14 and body index between the COPD and non-COPD groups. The prevalence of corpulmonale was 1.66% in this area. Conclusion: The prevalence of COPD was high in this area and related with sex, age, smoking history, family history, frequent cough before age 14 and low body index. Other factors such as environment, working exposure need to be studied in the future. COPD is a major public health problem, which should claim more attention.

关 键 词：北京市 慢性阻塞性肺疾病(COPD) 调查结果 40岁以上 流行病学特点 体重指数 肺功能检查 吸烟史 家族史 易患因素 农村地区 烹饪习惯 调查问卷 职业暴露 重大疾病 人民健康 患病率 等因素 既往史 统计学 发生率 肺心病 外环境 

分 类 号：R563[医药卫生—呼吸系统] R540.41[医药卫生—内科学]