成都市社区慢性阻塞性肺疾病合并慢性心力衰竭调查  

Epidemiological Survey on Coexisting Chronic Obstructive Pulmonary Disease and Chronic Heart Failure in Chengdu Communitis

作　　者：曾雪峰[1] 戴玫[2] 王晓霞[1] 唐炯[2] 包勇[1] 陈锋[1] 李群[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]成都市第三人民医院心内科,四川成都610031 [3]成都市建设路社区卫生服务中心,四川成都610051 [4]成都市郫县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》2013年第2期109-112,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的了解成都市社区慢性阻塞性肺疾病(COPD)患者合并慢性心力衰竭(CHF)的患病率。方法以成都市成华区和郫筒镇各4个社区40岁及以上人群为研究对象,采用整群随机抽样方法进行调查。采用统一调查表格,并进行病史询问、体格检查和肺功能测定等。结果 354例COPD患者中合并CHF患者74例(20.90%),男性患病率高于女性,男女比为22.69%∶18.12%(P<0.05);各病因所占比例依次为高血压病(31.64%)、冠心病(18.93%)、慢性肺源性心脏病(17.51%)和糖尿病(11.86%)。结论成都市社区COPD患者CHF的患病率高,应该引起高度重视。Objective To survey the prevalence of coexisting chronic obstructive pulmonary disease （COPD） and chronic heart failure in Chengdu communities. Methods A cross-sectional study was performed in the population aged over 40 years in eight communities of Chengdu city. The subjects were selected by stratified cluster random sampling. Using the same protocol and questionnaire, all participants underwent medical history taking, physical examination and spirometry. Results Of 354 participating patients with a diagnosis of COPD, 74 （20. 90% ） cases were complicated with chronic heart failure. The prevalence of chronic heart failure in COPD in male was significantly higher than that in female （ 22. 69% vs. 18. 12% ,P 〈0. 05）. The major causes of chronic heart failure were hypertension （31.64%） ,ischaemic heart disease （ 18. 93% ）, chronic pulonary heart disease （ 17.51% ） and diabetes （ 11.86% ）. Conclusions The prevalence of coexisting COPD and chronic heart failure in Chengdu city is significantly higher than the average level of the whole country, which warrant more attention in prevention and treatment of COPD in communities.

关 键 词：慢性阻塞性肺疾病 慢性心力衰竭 流行病学 患病率 

分 类 号：R563.9[医药卫生—呼吸系统]