成都市社区慢性阻塞性肺疾病流行病学调查  

Epidemiological Survey on Chronic Obstructive Pulmonary Disease in Chengdu Communitis

作　　者：曾雪峰[1] 王晓霞[1] 包勇[1] 陈锋[1] 高蜀生[1] 李凯[1] 陈敏[1] 何慧 刘健康 蒲霞 杜娟 

机构地区：[1]成都市第三人民医院呼吸科,四川成都610031 [2]成都市建设路社区卫生服务中心,四川成都610051 [3]成都市郫筒镇社区卫生服务中心,四川成都610110

出　　处：《中国呼吸与危重监护杂志》2011年第1期30-32,共3页Chinese Journal of Respiratory and Critical Care Medicine

基　　金：成都市"十一五"科技发展规划重大专项分项(编号:07YTYB959SF-020)

摘　　要：目的了解成都市社区慢性阻塞性肺疾病(COPD)的发病情况及相关危险因素,为COPD的防治提供依据。方法 2007年8月至2009年8月,随机抽取成都市成华区和郫筒镇各四个社区40岁及以上人群为调查对象。采用整群-随机抽样方法进行调查,使用统一调查表格,并进行肺通气功能检测。结果调查共抽取40岁及以上成年人4315例,其中资料合格、完整且肺功能检查质控合格者3687例,男1539例,女2148例;平均年龄(60.35±13.21)岁。COPD患病率为9.6%,男性患病率高于女性(14.0%比6.4%,P<0.01);COPD患病率随年龄增长而升高,各年龄段患病率差异有统计学意义(P<0.05)。COPD主要的危险因素为吸烟(OR=3.012,95%CI2.390～3.797,P<0.01)和室内油烟污染(OR=2.546,95%CI1.734～3.425,P<0.01)。结论成都市社区COPD患病率明显高于全国平均水平,应该引起高度重视。Objective To survey the prevalence and risk factors of chronic obstructive pulmonary disease（COPD）,and establish database for community intervention of COPD.Methods A cluster-random-sampling survey was carried out.The population aged over 40 years old in eight communities of Chengdu were investigated from August 2007 to August 2009 using the standard protocol and questionnaire.The spirometry was performed for each participant.Results A total of 4315 residents were enrolled in this survey and 3687 case reports were analyzed,including 1529 males and 2148 females,with an average age of 60.35±13.21 years old.Total prevalence of COPD was 9.6%.The prevalence of COPD in the males was significantly higher than that in the females（14.0% vs.6.4%,P0.01）.The prevalence of COPD increased with the age.The major risk factors were cigarettes smoking（OR=3.012,95%CI 2.390-3.797,P0.01） and indoor cooking smoking（OR=2.546,95%CI 1.734-3.425,P0.01）.Conclusion The prevalence of COPD in Chengdu city is significantly higher than average level of the whole country,which warrant more attention to better prevention and treatment of COPD in communities.

关 键 词：慢性阻塞性肺疾病 流行病学 患病率 

分 类 号：R563.9[医药卫生—呼吸系统]