辽宁省大中城市及郊区老年人支气管哮喘患病率调查  

A study on prevalence of elderly asthmatics in urban and rural areas of Liaoning Province

作　　者：陈萍[1] 谢华[1] 吴志家[1] 孔令菲[2] 李永春[3] 于日新[4] 赵海涛[1] 

机构地区：[1]沈阳军区总医院呼吸内科,沈阳市110016 [2]中国医科大学附属第一院呼吸内科 [3]锦州医学院附属医院呼吸内科 [4]大连医科大学附属第一医院呼吸科

出　　处：《中华老年医学杂志》2004年第2期109-111,共3页Chinese Journal of Geriatrics

基　　金：辽宁省自然科学基金项目 ( 981 0 50 0 80 4 )

摘　　要：目的　调查辽宁省大、中城市及其郊区老年人支气管哮喘 (哮喘 )的患病情况 ,为老年人哮喘的防治提供依据。　方法　以分层整群不等比随机抽样对照方法 ,抽取全省人口的 2 5‰以上人口共 1162 76人 ,对其中≥ 60岁的 12 73 5名老年人哮喘患病情况进行分析。　结果　确诊老年哮喘患者 52 2例 ,患病率为 4 0 9% ,显著高于我省同期现患病率的 1 2 5% ,其中男 2 0 7例、女 3 15例 ,女性显著高于男性 (P <0 0 1)。农村老年人哮喘患病率显著高于城市 (患病率分别为 5 2 4%和3 0 1% ,P <0 0 1)。城市工业区老年人哮喘患病率高于文化区 (患病率分别为 3 85%和 2 44% ,P<0 0 5) ,起病年龄在 60岁以上者 50例 ,占 9 58%。本次调查确诊为哮喘者 2 13例 ,漏诊率为40 80 %。　结论　哮喘是老年人的常见疾病 。Objective To survey the prevalence of elderly asthmatics among urban and rural residents of Liaoning Province and to provide data for preventive and therapeutic policies of asthma. Methods Stratified cluster disproportional 2.5‰ random sampling survey for 116 276 re sidents was performed using uniform scheme, procedures and questionnaire. Among them 12 735 cases were over 60 years old. Results Totally 522 cases (207 male and 315 female) were diagnosed as asthma, the overa ll prevalence was 1 25% and that of elderly was 4 09% ( male 3 26%, female 4 92%, P<0 01), the prevalence of rural elderly asthmatics was higher tha n that of urban areas (5 24% and 3 01%, P<0 01). The prevalence rate of u rban industrial district was higher than that of cultural district (3 85% and 2 44%, P<0 05). That the first attack was over the age of 60 was found in 5 0 cases (9 58%), and 213 cases (miss diagnosis rate 40 8%) were first dia gnosed by this study. Conclusions It reveals that asthma is quite common in the elderly in Liaoning Province. Pre vention, management and treatment in the elderly is deadly important.

关 键 词：城市地区 老年人 支气管哮喘 患病率 辽宁 流行病学 

分 类 号：R562.25[医药卫生—呼吸系统]