慢性阻塞性肺疾病、肺心病人群防治的初步结果  

The Preliminary Results of Prevention and Treatment in the Population of Patients with COPD and Cor Pulmonale

作　　者：程显声[1] 李景周[2] 张珍祥[3] 刘国华[4] 华毅[1] 徐希胜[2] 徐永健[3] 赵玉霞[4] 李清[1] 张学功[4] 李亚辉[1] 马秀平[1] 

机构地区：[1]中国医学科学院中国协和医科大学阜外心血管病医院,北京100037 [2]北京市房山区第一医院 [3]同济医科大学 [4]中国医科大学

出　　处：《中华流行病学杂志》1997年第5期282-285,共4页Chinese Journal of Epidemiology

基　　金：国家"八五"攻关课题

摘　　要：为研究和总结慢性阻塞性肺疾病(COPD)、肺心病社区综合防治的效果和经验,自1992年春到1995年春对北京、辽宁、湖北三地区农村10万人群,随机队列分层实施COPD和肺心病人群综合防治研究。结果如下:(1)各层人群的管理率提高:高危为85.6%,COPD 87.8%。肺心病83.6%;(2)卫生知识知晓率增加,干预组各项知识增长率为+9.6%到+33.6%,优于对照组(一5.8%到+32.6%);(3)干预组与对照组比:①吸烟量增加的人数较多(20.1%比17.8%),但无统计学意义,戒烟率较高(15.5%比11.3%,P<0.01);②新发高危人群数较少(2.8%比3.9%,P<0.01);③新发肺心病患者数较少(19.9%比22.6%,P>0.05);④肺心病病死率较低(4.34%比4.78%,P>0.05)。需指出,经过3年的干预虽获初步结果,但由于COPD和肺心病是一长期慢性过程,明显的人群防治效果仍需不断工作。This paper tends to evaluate the effects of comprehansive prevention ahd treatment in COPD and cor pulmonale in the communities. A Randomized cohort with stratified design was undertaken in the rural areas with hundred thousand population in Beijing municipality, Lianning and Huhei Provinces, from spring 1992 to spring 1995. Results: (1)the rates to all stratified populations under management were 85.6% among those witb high risk, 87.8% among COPD and 83.6% among cor pulmonale, respectively. (2)The levels of KAB were raised more significantly in most intervention group than in control group which went up +9.6% to+33.6% and -5.8% to +32.6%, respectively. (3) Comparisons between the two groups revealed: ①Number of cigarette smokers who smoked more than before increased (20.1% vs 17.8%) but with no statistical significance. ②The rate of smoking cessation went higher (15.5% vs 11.3%, P<0.01 ). ③New high risk subjects were reduced (2.8% vs 3.9%, P<0.01). ④ Number of new cor pulmonale patients decreased (19.9% vs 22.6%, P>0.05) and mortality rate lowered (4.34% vs 4.78%, P>0.05). Conclusion: preliminary results indicates that the active intervention is effective in reducing COPD and cor pulmonale among population at high risk in communities. However, it is necessary to point out that COPD and cor pulmonale are both having chronic nature which calls for patient and continuous efforts.

关 键 词：慢性 阻塞性肺疾病 肺心病 流行病学 

分 类 号：R563.9[医药卫生—呼吸系统] R541.5[医药卫生—内科学]