四川省非吸烟人群慢阻肺危险因素研究  

The Risk Factors of Chronic Obstructive Pulmonary Disease in Non-smokers of Sichuan Province

作　　者：董婷 胥馨尹[1] 陈晓芳[1] 周薇薇[1] 李尤[1] 邓颖[1] DONG Ting;XU Xinyin;CHEN Xiaofang;ZHOU Weiwei;LI You;DENG Ying(Sichuan Center for Disease Control and Prevention, Chengdu 610041, Sichuan Province, China.)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2018年第5期582-585,共4页Journal of Preventive Medicine Information

摘　　要：目的探讨四川省40岁及以上非吸烟人群慢性阻塞性肺疾病(慢阻肺,COPD)的患病情况及其危险因素,为慢阻肺的防治提供参考。方法采用多阶段随机整群抽样的方法,对抽取到的调查对象进行问卷调查、肺功能检测及体格检查,对慢阻肺的影响因素进行单因素和多因素Logistic回归分析。结果共调查了2 039名非吸烟者,慢阻肺的患病率为14.2%,慢阻肺诊断率为0.7%,肺功能检查率为2.4%,多因素分析显示,男性、年龄的增长、14岁以前与每天吸烟者共同生活、接触二手烟、出现气短和呼吸困难的症状是慢阻肺的危险因素,与正常体重相比超重和肥胖是保护因素。结论四川省40岁及以上非吸烟人群慢阻肺患病率高、慢阻肺诊断率及肺功能检查率低,应针对危险因素及低诊断率和低肺功能检查率采取相应措施。Objective To explore the prevalence and risk factors of chronic obstructive pulmonary disease （COPD） in non-smokers over 40 years old of Sichuan province and to provide reference for prevention and treatment of COPD. Methods Questionnaire, pulmonary function tests and physical examinations were performed for subjects after the multistage random cluster sampling. Then univariate and multivariate logistic regression was used to study the influencing factors of COPD. Results Among 2 039 non-smokers, the prevalence of COPD was 14. 2%, diagnostic rate was 0. 7%, and pulmonary function test rate was 2. 4%. Analysis showed that ： Male, advanced age, living together with daily smokers before the age of 14, secondhand smoke and breathing shortness and difficulty were risk factors of COPD, and Overweight and obesity were protective factors. Conclusion The prevalence was high, the diagnostic rate and pulmonary function test rate were low, and intervention measures should be taken against the risk factors, the diagnostic rate and pulmonary function test rate.

关 键 词：肺疾病 慢性阴塞性 危险因素 非吸烟人群 

分 类 号：R563.9[医药卫生—呼吸系统]