辽宁部分农村地区女性慢性阻塞性肺疾病流行病学调查  

Epidemiologic analysis of COPD in rural females in Liaoning province

作　　者：侯刚[1] 李猛[1] 冯学威[1] 王赞峰[1] 王秋月[1] 康健[1] 

机构地区：[1]中国医科大学附属第一医院呼吸疾病研究所,辽宁沈阳110001

出　　处：《中国医科大学学报》2007年第6期671-672,691,共3页Journal of China Medical University

基　　金：国家"十五"科技攻关项目(2001BA703B03A)

摘　　要：目的:了解辽宁农村女性慢性阻塞性肺疾病(COPD)的发病情况及危险因素,为COPD的社区防治提供依据。方法:采用统一调查表格,以整群随机抽样方法,调查沈阳市于洪区大潘乡和锦州市黑山县大兴乡40岁以上的人群,并进行肺通气功能检测。选取女性为本研究的分析对象。结果:辽宁农村女性总患病率为5.9%。多因素分析显示:年龄的增大、有家族呼吸疾病史及低体质量指数是罹患COPD的危险因素。单因素分析显示:吸烟、使用生物燃料和生活水平差也可能是罹患COPD的危险因素。结论:辽宁农村女性COPD的患病率较高,可能的危险因素是多方面的,这为COPD的社区防治提供了依据。Objective：To survey the prevalence of chronic obstructive lung disease（COPD） and evaluate the risk factors for COPD in rural females in Liaoning Province.Methods：The cluster-random-sampling survey was performed to the population aged over 40 years in Dapan township and Daxing township.The spirometry was performed for every female participant and the data were analyzed.Results：The prevalence of COPD in rural females in Liaoning Province was 5.9%.Logistic regression model showed that the increase in age（OR=1.08,95%CI=1.05～1.11）,the family history of respiratory diseases（OR=3.12,95%CI=1.65～5.89） and lower body mass index were the risk factors for COPD.The single factor analysis showed that smoking,use of biomass fuels and lower level of living condition might be risk factors for COPD.Conclusion：COPD is a common disease in rural females in Liaoning.The prevalence of COPD is associated with multiple factors,which provide some scientific basis for prevention and treatment of COPD in communities.

关 键 词：肺疾病 阻塞性 流行病学 危险因素 

分 类 号：R563.3[医药卫生—呼吸系统]