北京社区居民慢性阻塞性肺疾病患病率及危险因素调查  

Prevalence and risk factors of chronic obstructive pulmonary disease among community residents in Beijing

作　　者：周为 王红[3] 李丹 王明辉 刘卫信 张红 李燕明 Zhou Wei;Wang Hong;Li Dan;Wang Minghui;Liu Weixin;Zhang Hong;Li Yanming(Graduate School of Peking Union Medical College,Beijing 100005,China;Department of Respiratory and Critical Care Medicine,Beijing Hospital,National Center of Gerontology,Beijing 100730,China;Tiantan Community Health Service Center,Dongcheng District,Beijing 100050,China;Puhuangyu Community Health Service Center,Fengtai District,Beijing 100075,China)

机构地区：[1]北京协和研究生院,北京100005 [2]北京医院呼吸与危重症医学科,国家老年医学中心,北京100730 [3]北京市东城区天坛社区卫生服务中心,北京100050 [4]北京市丰台区蒲黄榆社区卫生服务中心,北京100075

出　　处：《中国医刊》2020年第5期500-503,共4页Chinese Journal of Medicine

基　　金：国家科技基础资源调查专项(2017FY101200)。

摘　　要：目的了解北京部分社区40岁及以上人群慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患病情况及其相关危险因素。方法于2018年2月至2018年12月采用横断面调查方式对北京市东城区天坛社区、北京市丰台区蒲黄榆社区、北京市顺义区李桥社区、北京市朝阳区安贞社区居民进行问卷调查和肺功能检查,按照COPD诊断标准分为COPD组和非COPD组,计算COPD患病率,分析其危险因素。结果共1888例社区居民纳入本研究,检查出COPD患者160例,COPD患病率为8.5%。COPD组和非COPD组在年龄、学历、吸烟、过敏史、职业暴露史、使用生物燃料、慢性呼吸系统疾病家族史等方面差异有显著性(P<0.05)。多因素logistic回归分析显示,年龄、吸烟指数、使用生物燃料以及慢性呼吸系统疾病家族史可显著增加COPD的发生风险。结论COPD在北京城市社区居民中较为常见,人口老龄化、吸烟、使用生物燃料以及慢性呼吸系统疾病家族史可使其发生风险显著增加,开展早期筛查、控烟戒烟以及使用清洁燃料等将有利于社区COPD防控。Objective To investigate the prevalence and risk factors of chronic obstructive pulmonary disease(COPD)among community residents aged≥40 years in Beijing.Method Questionnaire survey and pulmonary function test were performed among community residents by cross-sectional investigation,and the prevalence of COPD was calculated and risk factors of COPD were analyzed.Result A total of 1888 residents were included in the analysis,of which 160 patients with COPD were diagnosed.The prevalence of COPD was 8.5%.There were significant differences in age,education level,smoking,allergic history,occupational exposure,biomass use and family history of pulmonary diseases between COPD patients and non-COPD(P<0.05).Multi-variable logistic regression analysis showed that the risk of COPD increased along with the increase of age,smoking degree and time of biomass use.Conclusion COPD is prevalent in community residents of Beijing,and aging,smoking and biofuel usage significantly increase the risk.It is benefit for the prevention and control of COPD in community by screening COPD early,controlling tobacco and using clean energy.

关 键 词：慢性阻塞性肺疾病 患病率 危险因素 社区 

分 类 号：R563[医药卫生—呼吸系统]