淮海社区40岁以上人群慢性阻塞性肺疾病患病情况调查分析及干预对策  

Investigation and Analysis on Prevalence of COPD among the People over 40 Years in Huaihai Communities

作　　者：费凯[1] 时国朝[2] FEI Kai, SHI Guoqi（ 1.Huaihai community health centre, LuWan District, Shanghai 200025 ;2.Respiratory department of LuiJin Hospital of JiaoTong University, Shanghai）

机构地区：[1]上海市卢湾区淮海中路街道社区卫生服务中心,200025 [2]上海交通大学附属瑞金医院呼吸科

出　　处：《社区卫生保健》2011年第1期32-33,40,共3页Journal of Community Healthcare

基　　金：本课题系上海市市级医院慢性病综合防治项目,上海申康医院发展中心重点项目“社区COPD综合防治体系的建立与评价”（项目号：SHDC12007302）（致谢：本研究得到上海市瑞金医院呼吸科万欢英、李敏、时国朝主任及全体医务人员的大力支持）

摘　　要：目的了解社区居民（慢性阻塞性肺疾病）COPD的患病状况及主要危险因素，探讨COPD患者社区干预对策。方法随机调查我社区6个居委会40岁以上人群，通过统一问卷调查及肺功能仪测定FEV1／FVC。结果我社区40岁以上人群COPD患病情况呈现“三高三低”，即患病率较高、男性比例高、吸烟率高，COPD知晓率低、肺功能筛查率低、干预率低。结论社区COPD的发病情况不容忽视，社区人群对COPD的认知水平和健康行为亟待提升和改善，应该推广普及肺功能检测早期诊断早期干预COPD。Objective To learn the prevalence of COPD in my community residents and its primary risk factors to explore the intervening countermeasures for COPD. Method To investigate the population above 40 years old in the 6 residents＇ committee with unified questionnaires, and to test FEV1/FVC through the lung function instrumental measurement. Results The people over 40 years of COPD prevalence in my communities showed three highs and three lows, that is the mobility was higher, the prevalence of men was high and smoking rates was high and COPD awareness rate was low, the lung function screening was low, and the intervention rate was low. Conclusion The incidence of COPD in community should not neglected. Their awareness level of COPD and health behavior should be in urgent need of upgrading and enhancing. Pulmonary function testing for diagnosis of COPD and intervention should be done in early period.

关 键 词：社区 慢性阻塞性肺疾病 调查分析 干预对策 

分 类 号：R563[医药卫生—呼吸系统;医药卫生—临床医学;医药卫生—内科学]