摘要
目的调查广东省佛山市顺德区乐从镇X线胸片无明显异常的慢性咳嗽的流行病学特点。方法采用统一的流行病学调查表,采用多阶段随机抽样的方法,对样本进行面访式问卷调查。结果共发放调查问卷1 850份,回收有效问卷1 769份,回收率95.6%。其中男性1 115人,女性654人。慢性咳嗽的总患病率为8.65%,女性患病率为11.32%,男性患病率为7.09%,男女患病率差异有统计学意义(P<0.05)。城区患病率(11.78%)明显高于工业区(5.24%)、农业区(7.03%),差异有统计学意义(P<0.017)。危险因素方面,单因素logistic分析提示长期吸烟,长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史与慢性咳嗽发病有显著关联(P<0.05);而多因素logistic分析提示长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史为慢性咳嗽高危因素(P<0.05)。慢性咳嗽对生活质量的影响,女性大于男性。结论本地区X线胸片无明显异常的慢性咳嗽患病率较高,女性患者高于男性;其主要病因为上气道咳嗽综合征、咳嗽变异性哮喘、嗜酸性粒细胞性支气管炎、胃食管反流性咳嗽、变应性咳嗽;常见的高危因素为长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史;其对生活质量的影响,女性大于男性。
Objective To investigate the epidemiology of chronic cough in Lecong town, Shunde District, Foshan City, Gnangdong province. Methods A unified epidemiologieal questionnaire, with face -to -face interview and multi stage random sampling, was used for the investigation. Results A total of 1850 questionnaires were distributed, 1 769 questionnaires were recovered, and the recovery rate was 95.6%. There were 1 115 male and 654 female interviewees. The overall prevalence rate of chronic cough was 8.65%. The prevalence rate in male was 11.32% and 7.09% in fe- male, as there was significant difference between them （P 〈 0. 05 ）. The prevalence rate in the urban area （ 11.78% ） was significantly higher than those in the industrial area （5.24%） and in the agricultural area （7.03%） （P 〈0. 017）. Sin- gle factor logistic analysis showed that long - term smoking, long - term inhalation of dust, chemical preparation, spicy food, cough in cold air, allergic history, history of nasal diseases, and history of stomach diseases were significantly asso- ciated with chronic cough （ P 〈 0. 05 ）. The muhi factor logistic analysis showed that long - term inhalation of dust, chemi- cal preparation, spicy food, cough in cold air, allergic history, history of nasal diseases, and history of stomach diseases were indecent risk factors for chronic cough （ P 〈 0. 05 ）. The chronic cough influence more on the quality of life in fe- males. Conclusion The local chronic cough with no obvious abnormality in chest X -ray is in high prevalence, and higher in females. Its main pathogenies are CVA, EB, UACS, GERC and AC. The most common high - risk factors are long - term inhalation of dust, chemical preparation, spicy food, cough in cold air, allergic history, history of nasal dis- ease, and history of stomach diseases.
出处
《广东医学》
CAS
北大核心
2017年第10期1574-1577,共4页
Guangdong Medical Journal
基金
广东省医学科学技术研究基金项目(编号:B2016100)
关键词
X线胸片
慢性咳嗽
流行病学调查
chest X -ray
chronic cough
epidemiological survey
