摘要
目的调查辽宁地区≥65岁慢性阻塞性肺疾病(COPD)流行病学特征。方法2019年1月至2020年12月,采用整群随机抽样法对辽宁地区沈阳市苏家屯社区≥65岁常住居民进行肺功能检测和问卷调查,取完整资料5738例问卷进行分析。结果5738人中符合COPD诊断者620例,总患病率10.81%,其中男性患病率12.58%(371/2950),女性患病率8.93%(249/2950);其中,男性肺功能分级较女性更严重,随年龄增大肺功能分级逐渐升高(P<0.05);多因素logistic回归分析,结果显示,性别、年龄、BMI、吸烟、儿时呼吸道病史、家族史、职业接触、室内油烟、使用污染燃料取暖是影响COPD发病的独立危险因素(P<0.05)。结论辽宁地区65岁及以上COPD患病率偏高,性别、年龄、BMI、吸烟、儿时呼吸道病史、家族史、职业接触、室内油烟、使用污染燃料取暖与COPD发病有关,临床应重视此类人群的早期筛查和防治,以降低COPD患病率。
Objective To investigate the epidemiological characteristics of chronic obstructive pulmonary disease(COPD)in patients aged 65 years and above in Liaoning Province.Methods Between January 2019 and December 2020,a cluster random sampling method was used to investigate residents≥65 years old in Sujiatun Community,Shenyang City,Liaoning Province.The pulmonary function tests of the selected residents were conducted.Questionnaire surveys were carried out and 5738 questionnaires with complete data were analyzed.Results A total of 620 COPD cases were diagnosed among 5738 people investigated in the present study,with a total prevalence rate of 10.81%,of which the prevalence rate in men was 12.58%(371/2950),and the prevalence rate in women was 8.93%(249/2950).According to the GOLD classification of lung function,620 patients can be divided into 186(30.49%)cases of grade I,266(43.61%)grade II,118(19.34%)grade III,and 50(8.20%)cases of grade IV.The problem with lung function in males was more serious than that in females,which increased gradually with age(P<0.05).Multivariate logistic regression analysis showed that gender,age,BMI,smoking,childhood respiratory history,family history,occupational exposure,indoor oil fume and use of polluted fuel for heating were independent risk factors affecting the onset of COPD(P<0.05).Conclusion The prevalence of COPD in patients aged 65 years old and above in Liaoning is relatively high.Gender,age,BMI,smoking,childhood respiratory history,family history,occupational exposure,indoor oil fume,and use of polluted fuel for heating are related to the onset of COPD.Clinical attention should be paid to early screening and prevention of COPD in those populations to reduce the prevalence of COPD.
作者
李圣
金巍
李跃飞
杨永
徐靖华
LI Sheng;JIN Wei;LI Yuefei;YANG Yong;XYU Jinghua(Emergency Department of the Fourth Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Shenyang,Shenyang 110111,China)
出处
《公共卫生与预防医学》
2021年第4期84-87,共4页
Journal of Public Health and Preventive Medicine
基金
辽宁省直医院改革重点临床科室诊疗能力建设项目“中药复方防治PM_(2.5)致慢性肺损伤的应用项目”(LNCCC-D60-2015)。
关键词
慢性阻塞性肺疾病
老年患者
流行病学调查
患病率
Chronic obstructive pulmonary disease
Elderly patients
Epidemiological survey
Prevalence
