中江地区慢性阻塞性肺疾病流行病学特征及相关危险因素分析  

Epidemiological Characteristics and Related Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Zhongjiang Region

作　　者：向茜 周婷玉 潘伏香 颜文凯 Xiang Qian;Zhou Tingyu;Pan Fuxiang;Yan Wenkai(Zhongjiang County People's Hospital,Deyang Sichuan 618100,China;Sichuan Taikang Hospital,Chengdu Sichuan 610213,China)

机构地区：[1]中江县人民医院,四川德阳618100 [2]四川泰康医院,四川成都610213

出　　处：《医疗装备》2025年第3期13-16,共4页Medical Equipment

摘　　要：目的了解中江地区慢性阻塞性肺疾病(COPD)患病率,并进行相关危险因素分析。方法以多阶段随机抽样选取2022年10月至2023年5月德阳市中江地区的400名常住居民作为调查对象,使用问卷调查和肺功能检查,筛查COPD人群并分析其流行病学特征和危险因素。结果COPD患病率为16.25%,男性、吸烟、老年及有呼吸系统疾病家族史人群患病率较高。COPD患者的肺功能检查结果显示,平均第1秒用力呼气量(FEV1)占预计值为(58.6±21.6)%,慢性阻塞性肺疾病全球倡议(GOLD)分级2、3级的患者分别有28例和25例。COPD人群的体质量指数(BMI)低于非COPD人群。COPD患者年住院费用为8538(6517,16132)元,年住院(1.6±1.3)人次。年龄、吸烟和呼吸系统疾病家族史是COPD的相关危险因素。结论中江地区COPD患病率较高、疾病经济负担重,建议关注老年人的肺功能和营养状况,可对吸烟等可控因素进行干预。Objective To acquire the prevalence rate of chronic obstructive pulmonary disease(COPD)in Zhongjiang region and analyze related risk factors.Methods With the selection of 400 permanent residents in Zhongjiang region of Deyang city from October 2022 to May 2023 as survey subjects by using multi-stage random sampling,questionnaire surveys and pulmonary function tests were used to screen COPD populations,and its epidemiological characteristics and risk factors were analyzed.Results The prevalence rate of COPD was 16.25%,and the prevalence rate was higher in men,smokers,the elderly and people with a family history of respiratory diseases.The results of pulmonary function tests in COPD patients showed that the mean forced expiratory volume in one second(FEV1)accounted for(58.6±21.6)%of the predicted value.There were 28 patients with Global Initiative for Chronic Obstructive Pulmonary Disease(GOLD)grade 2 and 25 patients with GOLD grade 3,respectively.People with COPD had a lower body mass index(BMI)than people without COPD.The median annual hospitalization cost of COPD patients was 8538(6517,16132)yuan,and the average number of inpatients per year was 1.6±1.3.Age,smoking,and family history of respiratory diseases were risk factors for COPD.Conclusion With a higher prevalence rate of COPD in the Zhongjiang region,and a heavy economic burden for the diseases,it was recommended to pay attention to the lung function and nutritional status of elderly people,and intervene in controllable factors such as smoking.

关 键 词：中江地区 慢性阻塞性肺疾病 患病率 危险因素 疾病负担 

分 类 号：R563.9[医药卫生—呼吸系统]