【摘要】 目的调查永嘉县40岁及以上居民慢性阻塞性肺疾病(COPD)患病率及其危险因素,为制定COPD预防控制策略和评估相关卫生政策提供依据。方法依据《中国慢性阻塞性肺疾病监测工作手册》(2014)要求,抽取600名≥40岁的永嘉县居民进行问卷调查、身体检查及肺功能检查。应用Logistic回归分析COPD的危险因素。结果 585名常住居民完成调查,发现COPD 85例,患病率为14.53%。男性COPD患病率高于女性(P<0.01),患病率随年龄增长呈上升趋势(P<0.01)。多因素Logistic回归分析显示男性(OR=1.962,95%CI:1.025~3.757)、咳痰(OR=2.346,95%CI:1.148~4.794)及高龄(OR=2.561和7.438,95%CI:1.221~5.372和3.601~15.361)是造成COPD的危险因素。结论永嘉县居民COPD患病率偏高,应重视40岁及以上咳痰男性的COPD监测和干预。更多还原

【Abstract】 Objective In order to explore the prevalence of chronic obstructive pulmonary disease( COPD) among residents aged over 40 in Yongjia County,and to provide basic data for the prevention and control strategies and measures of chronic obstructive pulmonary disease. Methods Residents were investigated by questionnaire investigation,body measurements,and pulmonary function tests. Questionnaire survey was including demographic information,chronic obstructive pulmonary disease knowledge awareness,personal and family history of the disease,respiratory symptoms,case management of respiratory diseases,risk factors. Body measurements were including height,body weight,waist circumference,blood pressure and heart rate. Pulmonary function tests was including one second forced expiratory volume( FEV1),forced expiratory volume( FEV6) and forced vital capacity( FVC). Results A total of 585 residents were investigated,including 85 patients with chronic obstructive pulmonary disease,and the prevalence rate of 14. 53%. Male chronic obstructive pulmonary morbidity was higher than female( χ~2= 44. 29,P = 0. 001),and with age increased,the prevalence rate increased( χ~2= 19. 56,P < 0. 001). Single factor analysis showed that the main risk factors were male,age ≥40,often cough / expectoration,smoking,occupational exposure history. Multivariate logistic regression analysis showed that male( OR = 1. 962,95% CI: 1. 025-3. 757),expectoration( OR = 2. 346,95% CI: 1. 148-4. 794) and age( in the age group of 50: OR = 2. 561,95% CI: 1. 221-5. 372; age≥60( OR = 7. 438,95% CI: 3. 601-15. 361) were the risk factors of chronic obstructive pulmonary disease( COPD). Conclusion Chronic obstructive pneumonia has become a public health problem that affects the health of the residents. We should take effective preventive measures against the risk factors.更多还原