郴州市部分城区慢性阻塞性肺疾病流行病学的抽样调查  

Epidemiological Sampling Survey on chronic obstructive Pulmonary Disease in Urban Area of chenzhou city

作　　者：付翔[1] 胡红[1] 胡敏凡[1] 

机构地区：[1]郴州市第三人民医院呼吸科,湖南郴州423000

出　　处：《临床肺科杂志》2011年第2期184-185,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的对郴州市北湖区某社区进行抽样流行病学调查,了解COPD的患病率和危险因素。方法选择郴州市北湖区某社区40岁及以上人群为调查对象,以吸入支气管舒张剂后FEV1/FVC<0.7为诊断COPD的肺功能标准,对符合该标准的患者,X线胸片和心电图检查排除其他可能导致肺功能损害的心肺疾病。结果共1000例接受调查,男520例,女480例。COPD的累计患病率为9.10%,其中男性为12.69%,女性为5.21%。主要的危险因素为吸烟和室内的油烟污染。吸烟者被检出有COPD达23.51%,调查中诊断为COPD的患者仅有18.50%。结论郴州市城区COPD患病率高于全国平均水平,患者的知晓率也低,应该引起重视。Objective To study the prevalence and risk factors of chronic obstructive pulmonary disease（COPD）and provide reliable data for COPD prevention and management.Methods By cluster-random-sampling survey,the residents aged 40 years or older in a commanity in Beihu District of chenzhou were investigated.The post-bron-chodilator FEV1/FVC〈0.7 was define as COPD.Those individals with FEV1/FVC lower than 0.7 would receive history inquinry,X-ray of chest and ECG to exclude other disease that could impair pumonary function.Results 1000 residents were researched（520 male and 480 female）.The prevalanace of COPD was 9.10%（male 12.69% and femal 5.21%）.The major risk factors were cigarettes smoke and indoor cooking smoke.There were 23.51% smokers were diagnosed as COPD.Only 18.5% patients had know themselves disease condition about chronic brnchitis,emplysema or COPD.Conclusion The prevalence of COPD in chenzhou city is higher than average level of the whole country and the patients have poor knowledge about the disease.

关 键 词：慢性阻塞性肺疾病 流行病学 患病率 吸烟 

分 类 号：R563.9[医药卫生—呼吸系统]