社区医院有关慢性阻塞性肺疾病现况的调查  

Current status investigation of chronic obstructive pulmonary disease in community hospital

作　　者：胡维[1] 眭建[1] 

机构地区：[1]江苏大学医学院全科医学教研室,江苏省镇江市212001

出　　处：《中华全科医学》2015年第10期1658-1660,共3页Chinese Journal of General Practice

摘　　要：目的通过社区医院调查慢性阻塞性肺疾病(COPD)及其合并症的发病情况,为提高社区医疗机构诊疗水平,开展COPD防治提供依据。方法选取社区医院500例门诊及住院主要诊断为COPD的病案数据进行回顾性现况调查,按发病年龄及病程不同进行分组,用SPSS软件进行回顾性统计分析。结果 1入选患者500例,男性268例,女性232例,平均年龄(60.20±11.40)岁。2有合并症的人数为409例(81.8%),合并症按发生率排列依次为骨质疏松(51.4%),焦虑/抑郁(42.2%)、高血压病(37.4%)、冠心病(28.8%)、糖尿病(20%)、高脂血症(8.2%)、肺癌(1.0%)。3不同年龄、不同病程的合并症分布不同,患者的分布随年龄的增加而逐渐增多,差异具有统计学意义(P均<0.05);随着年龄与病程增长,高血压、冠心病、糖尿病、骨质疏松及焦虑/抑郁的发病率也随之增加(P均<0.05),高脂血症/脂蛋白代谢紊乱及肺癌的发生率差异无统计学意义(P均>0.05);患者发病率在性别分布上差异无统计学意义(P>0.05)。结论慢性阻塞性肺疾病患者合并症发病率高,且不同年龄和不同病程患者的合并症发生率的变化趋势各具特点;加强社区基层医院对COPD教育防治水平具有重要意义。Objective To survey the prevalence of chronic obstructive pulmonary disease （COPD） and comorbidities in community hospitals, and provide a basis for the prevention and treatment of COPD in community health care institutes. Methods Five hundred cases of outpatient and hospitalization main diagnosed as COPD from the community hospitals were studied retrospectively. They were divided into different groups according to the age and disease progression. The statistical analysis for the clinical data was done by SPSS software. Results A total of 500 COPD patients were selected,including 268 male and 232 female patients with a mean age of（ 60.2 ± 11.4） years. Among these patients,409 （81.8% ） cases were combined With some comorbidities, osteoporosis had the highest prevalence （51.4%）, followed by anxiety/de- pression（42.2% ）, hypertension（ 37.4% ） coronary heart disease （28.8%）, diabetes （20%）, hyperlipidemia （8.2%）, and lung cancer（ 1.0% ）. In different ages and the different course of disease, the distribution of comorbidities was also different, the distribution of patients with the increase of the age, the difference was statistically significant （P 〈 0.05 ） ;the prevalence of hypertension, coronary heart disease, diabetes, osteoporosis, and the anxiety/depression was increased with age and the disease course（P 〈 0.05 ）, the prevalence of hyperlipidemia/lipoprotein metabolic disorder and lung cancer without a statistically significant （ P 〉 0. 05 ） ; the prevalence of patients on the gender distribution no statistical significance（P 〉 0.05）. Conclusion The prevalence of COPD and comorbidities has a high rates, and patients with different age and different course has its own characteristic of the change tendency. To strengthen the prevention, control and education level for COPD in the community hospitals have a great significance.

关 键 词：社区医院 慢性阻塞性肺疾病 合并症 分析 

分 类 号：R197.61[医药卫生—卫生事业管理] R563[医药卫生—公共卫生与预防医学]