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| 老年人慢性阻塞性肺病流行状况调查 | |
| 引用本文： | 王雅艳,李冰,王龙,翁磊,李晓雯,陈磊,丁杰,俞凯,陈众博,邓在春.老年人慢性阻塞性肺病流行状况调查[J].中国现代医生,2011,49(35):19-21. |
| 作者姓名： | 王雅艳 李冰 王龙 翁磊 李晓雯 陈磊 丁杰 俞凯 陈众博 邓在春 |
| 作者单位： | 1. 浙江省宁波市江北洪塘社区卫生服务中心,浙江宁波,315033 2. 浙江省宁波市钱湖医院,浙江宁波,315121 3. 浙江省宁波市第九医院,浙江宁波,315020 4. 浙江省宁波市镇海二院,浙江宁波,315207 5. 浙江省宁波市北仑宗瑞医院,浙江宁波,315806 6. 宁波大学附属医院,浙江宁波,315020 |
| 基金项目： | 宁波市江北区卫生局科研课题,中华医学会慢性呼吸道疾病科研专项基金课题 |
| 摘 要： | 目的调查城乡老年人慢性阻塞性肺疾病流行状况。方法选择农村与城区男60岁、女55岁以上的老年人1467名采取现场流行病学调查和肺功能检查，筛选肺功能异常者，并随后进行胸片检查除外其他疾病。结果城乡老年人慢性阻塞性肺疾病总患病率为16．29％，城区男性患病率高于城区女性，乡村女性患病率高于城区女性；总漏诊率为84．94％，乡村老年人漏诊率高于城区老年人；乡村女性患者生物燃料长期使用率高于城区女性患者。结论城乡老年人中慢性阻塞性肺病发病率高，漏诊严重，而乡村老年女性更是慢性阻塞性肺病好发人群。 |
| 关 键 词： | 老年人 慢性阻塞性肺病 漏诊 生物燃料 城乡 |
Prevalence Survey on Elderly Patients with Chronic Obstructive Pulmonary Disease |
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| Authors: | WANG Yayan LI Bing WANG Long WENG Lei LI Xiaowen CHEN Lei DING Jie YU Kai CHEN Zhongbo DENG Zaichun |
| Institution: | 1.Ningbo Jiangbei Hongtang Community Health Center in Zhejiang Province, Ningbo 315033, China; 2.Ningbo Qianhu Hospital in Zhejiang Province, Ningbo 315121, China; 3.Ningbo No.9 Hospital in Zhejiang Province, Ningbo 315020, China; 4.Ningbo Zhenhai No.2 Hospital in Zhejiang Province, Ningbo 315207, China; 5.Ningbo Beilun Zongrui Hospital in Zhejiang Province, Ningbo 315806, China; 6.The Affiliated Hospital of Ningbo University, Ningbo 315020, China) |
| Abstract: | Objective To investigate the prevalence of urban and rural elderly patients with chronic obstructive pulmonary disease. Methods All of 1467 urban and rural elderly people（male 60 years elderly, female 55 years elderly or elderlyer） were investigated epidemiologically and screened by on-site pulmonary function tests, and subsequent chest X-ray examination was taken for patients with abnormal lung function in order to rule out other diseases. Results The total prevalence rate of chronic obstructive pulmonary disease in urban and rural elderly people was 16.29%, the prevalence rate was higher in urban male than in urban female and was also higher in rural female than in urban female. The overall missed diagnosis rate of chronic obstructive pulmonary disease in urban and rural elderly people was 84.94% and the missed diagnosis rate was higher in rural elderly than in urban elderly. Rural female COPD patients with long-term usage of biofuels were much more than urban female COPD patients with long-term usage of biofuels. Conclusion The incidence of chronic obstructive pulmonary disease in rural and urban elderly is high and the missed diagnosis is serious, and rural elderly women are a risk group of chronic obstructive pulmonary disease. |
| Keywords: | Elderly COPD Missed diagnosis Biofuels Urban and rural |
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