慢性阻塞性肺疾病患病危险因素分析  

Study on prevalence and correlation factors of chronic obstructive pulmonary disease

作　　者：肖耀来[1] 李合友[2] 林勇[1] 高宪成[3] 孔德众[4] 刘瑞娟[1] 隋云南[4] 

机构地区：[1]济宁市第一人民医院呼吸科,济宁272011 [2]金乡县人民医院 [3]曲阜市人民医院 [4]济宁医学院预防系

出　　处：《中国行为医学科学》2005年第9期786-787,共2页Chinese Journal of Behavioral Medical Science

基　　金：济宁市卫生局资助课题

摘　　要：目的调查济宁市2005年慢性阻塞性肺疾病(COPD)患病率及相关因素。方法采取随机分层整群抽样的方法,选择13个点,抽样人口10450人,实际调查人口9824人,合格问卷9776份。结果共检出COPD患者649人,总患病率为6.64%,男性8.03%,女性5.25%,男性明显高于女性(2=30.375,P<0.001)。60岁以上老年男性患病率达到23.84%,女性为17.50%,各年龄组男性患病率均高于女性。相关因素分析显示,COPD与下列因素有关:吸烟(OR=2.938)、被动吸烟(OR=1.992)、粉刷房屋(OR=1.699)、空气污染(OR=1.135)、遗传(OR=3.357)、呼吸道感染(OR=1.389)、做饭频率(OR=1.382)为危险因素;体质量(OR=0.971)、水暖(OR=0.463)、无烟煤有烟囱取暖(OR=0.604)为保护因素。结论COPD患病与吸烟、粉刷房屋、空气污染、遗传、呼吸道感染等因素密切相关。Objective To study the prevalence of COPD and its correlated factors in Jining city in 2005. Methods 13 points were selected by stratified-clustered-random sampling with a total of 10450 persons expected, but only 9824 subjects were investigated,9776 were qualitied. Results In this survey, 649 COPD cases were identified with a overall prevalence of 6.64% , The prevalence for male was 8.03% , and the female was 5.25% , the prevalence was higher in male than in female. And it was higher with the increasing age. The prevalence was up to 23.84% in over 60 years old. The prevalence of male was all higher than that of female in every age group. Correlation analysis showed that smoking （ OR = 2.938） , passive smoking （ OR = 1. 992 ）, decoration （ OR = 1. 699 ） , air pollution （ OR = 1. 135 ）, inheritance （ OR = 3. 357 ）, respiratory tract infection （ OR = 1. 389） ,cooking times （ OR = 1. 382 ） were risk factors. Weight （ OR = 0. 971 ）, water warming （ OR = 0.463 ）, anthracite warming with chimney were protecting factors. Conclusion The prevalence and correlation factors of COPD were acquired, and they may provide science basis for establishing intervention measures.

关 键 词：慢性阻塞性肺疾病 患病率 危险因素 慢性阻塞性肺疾病(COPD) 危险因素分析 分层整群抽样 呼吸道感染 老年男性 被动吸烟 COPD患者 

分 类 号：R563.9[医药卫生—呼吸系统]