内陆城市与海岛居民健康成人肺功能比较研究  

Comparison Study on the Lung Function of Peopli in Inland City and Island

作　　者：李仲铭[1] 李静华[2] 白永[1] 叶宏[1] 朱广瑾[3] 华建昭[4] 

机构地区：[1]昆明医科大学解剖学系,云南昆明650500 [2]昆明医科大学附属二院眼科,云南昆明650101 [3]中国协和医科大学基础医学院病理生理学系,北京100005 [4]云南省疾病预防控制中心,云南昆明650021

出　　处：《昆明医学院学报》2012年第6期56-61,共6页Journal of Kunming Medical College

基　　金：科技部2001和2002年度基础性工作专项;社会公益研究专项重点项目(2001DHA30031)

摘　　要：目的通过对浙江省内陆城市与海岛居民健康中青年人群肺功能进行比较研究,探讨生活在不同地域人群的肺功能差异及其相关因素.方法采用便携式肺功能仪对经过基础体格检查并确定为正常人的820名20～45岁年龄阶段的人群进行肺功能检测,取最能反映肺功能的4个指标(FVC、FEV1、FEV1/FVC%、PEF、MMEF75/25)做多元逐步线性回归以检测年龄、性别、身高、体重等因素对肺功能的影响.结果肺容量及大部分肺通气量功能两地无明显差异,但海岛居民小气道指标值均高于内陆居民(P<0.05,P<0.01),大部分肺功能指标值在26岁左右达到高峰然后均呈逐渐下降趋势,但海岛居民下降趋势低于内陆居民,线性回归显示身高对大部分指标的影响最为明显,而年龄、体重的影响则因指标而异.结论浙江省内陆与海岛地区正常人群肺功能检测值存在地域差别,空气质量对肺功能的影响不容忽视.Objective To put up the spot test and investigate the lung function of the young and middle-aged normal subjects living in the land city and island of Zhejiang province and its correlative factors such as living circumstance, age, height and body weight. Methods The lung volumes and breath capacities of 820 normal subjects aged 20-45 were tested by portable spirometers. The key indices of lung function, including VC, FEV1, FEV/FVC%, PEF and MMEF75/25, were analyzed by multiple linear regression so as to observe the influence of age, gender, height and body weight on the lung function. Results Significant difference existed between the land city and island in some indexes （P〈 0.05, P〈 0.01） ; The small airway value indexes of island were more than land city. Most of indexes reached their peaks at the age of 26 and then decreased gradually by age. Among these factors, height had the most influencing effect while age and weight took the second place. Conclusion There is significant difference in the lung function test results between subjects living in the land city and island, the air quality has an important effect on lung function.

关 键 词：肺功能 内陆 海岛 中青年 

分 类 号：R181.31[医药卫生—流行病学]