佛山农村社区老年居民小气道功能障碍及其危险因素  

Small airway dysfunction and its risk factors in elderly residents in foshan rural community

作　　者：黄可爱 曾斌 陈旭芳 HUANG Keai;ZENG Bin;CHEN Xufang(Department of Medical Examination Center,Guangzhou First People’s Hospital,the Second Affiliated Hospital of South China University of Technology,Guangzhou 510180,China)

机构地区：[1]华南理工大学附属第二医院//广州市第一人民医院,广东广州510180 [2]广东省人民医院//广东省医学科学院,广东广州510000

出　　处：《现代医院》2023年第7期1099-1101,1105,共4页Modern Hospitals

基　　金：广东省医学科学技术研究基金项目(A2019143)。

摘　　要：目的调查显示我国20岁及以上居民小气道功能障碍患病率高达43.5%,并受地域分布、经济水平与生活方式等多种因素影响。佛山居民生活具有明显的“广府特色”,但我们对这一区域的农村社区老年居民小气道功能障碍流行情况尚缺乏了解。方法从佛山市南海区某农村社区12个自然村落中随机挑选5个村,从中招募65岁及以上的长期居民,使用简易肺功能仪进行肺通气功能检查,并采集其人体学、社会学参数与居民健康体检结果,评估小气道功能障碍的患病率与危险因素。结果研究共招募193人,其中174人完成数据采集,确诊小气道功能障碍者99人(占56.9%)。与小气道功能正常者相比,小气道功能障碍者年龄更大(P=0.012),合并更显著的阻塞性通气改变(P<0.001),更多曾经吸烟与持续吸烟者(P=0.010)。在校正年龄、性别、体重指数(BMI)等参数后,持续吸烟仍是小气道功能障碍的独立危险因素(OR=5.157,95%CI=1.008~24.441,P=0.039)。结论佛山农村社区老年居民小气道功能障碍患病率较高,吸烟仍是其独立危险因素,有必要继续大力推广戒烟运动。Objective The survey showed that the prevalence rate of small airway dysfunction among residents aged 20 and above in China is as high as 43.5%,and is affected by many factors such as geographical distribution,economic level and lifestyle.Foshan residents have obvious“Guangfu characteristics”in their lives,but we still lack understanding of the prevalence of small airway dysfunction among elderly residents in rural communities in this region.Methods Five villages were randomly selected from 12 natural villages in a rural community in Nanhai District,Foshan City.Long-term residents aged 65 and above were recruited from these villages.The pulmonary function test was completed,and their ergonomic and sociological parameters and residents’health examination results were collected to evaluate the prevalence and risk factors of small airway dysfunction.Results A total of 193 people were recruited in the study,174 of whom completed data collection,and 99(56.9%)were diagnosed with small airway dysfunction.Compared with those with normal function,they were older(P=0.012),more significant obstructive ventilation changes(P<0.001),and more smokers and continued smokers(P=0.010).After adjusting for age,sex,body mass index(BMI)and other parameters,continuous smoking was still an independent risk factor for small airway dysfunction(OR=5.157,95%CI=1.008-24.441,P=0.039).Conclusion The prevalence of small airway dysfunction in elderly residents in Foshan rural community is high,and smoking is still an independent risk factor.It is necessary to continue to vigorously promote smoking cessation campaign.

关 键 词：农村 老年人 小气道功能障碍 危险因素 

分 类 号：R197[医药卫生—卫生事业管理]