柳市慢性阻塞性肺疾病的流行病学调查

目的 调查柳市慢性阻塞性肺疾病(COPD)的患病率、年龄变化趋势及相关危险因素等,为今后有效的防治工作提供科学依据.方法 2008年12月～2012年10月,通过门诊和住院患者进行登记调查3108人,包括问诊(居住状况、生活和烹饪习惯、吸烟史、家族史和既往史等),体检,填写流行病学调查问卷进行肺功能检查,并做相应的心电图及胸部CT片检查,对COPD的危险因素进行单因素和多因素非条件Logstic回归分析.结果 该地区COPD总患病率13.51％,其中男性高于女性,性别、年龄、吸烟史、儿时咳嗽史等因素在COPD组与非COPD组相比差异有统计学意义,该地区COPD发生率占40岁以上人口的1.73％.结论 COPD在该地区患病率较高,性别、年龄、吸烟、儿时咳嗽史与COPD的发生有密切关系,而室内外环境和职业暴露等因素尚有待进一步研究,COPD合并症多,应得到重视.

Epidemiological survey of chronic obstructive pulmonary disease in Liushi

Objective To elucidate the Liushi chronic obstructive pulmonary disease （COPD） to investigate the preva- lence of epidemiology, age trends and analysis of the related risk factors and provide scientific basis fbr the prevention and control work effectively in the future. Methods In 2008 December-2012 year in October,by outpatients and inpa- tients were registered in 3108, inquiry （including living conditions,living and cooking habits, smoking history, family history and past history）.Physical examination, complete epidemiological survey of pulmonary function test, and make corresponding electrocardiogram and chest CT ray examination,risk factors for COPD were analyzed by univariate and multivariate unconditional logistic regression analysis. Results The total prevalence rate of COPD was 13.51%, gen- der,age, smoking history, cough in childhood and other factors in the COPD group compared with the non-COPD group had significant difference. The area the incidence of COPD accounted for 40 of the population aged above 1.73%. Conclusion COPD in the area with higher prevalence,gender,age,smoking, history of childhood cough is closely related with COPD, and the interior and exterior environment and occupation exposure factors further research of many COPD complications, should be emphasized.