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慢性阻塞性肺疾病合并肺癌的危险因素
引用本文:周红玉,杜永成,张爱珍.慢性阻塞性肺疾病合并肺癌的危险因素[J].中国医药指南,2014(10):48-49.
作者姓名:周红玉  杜永成  张爱珍
作者单位:[1]山西医科大学附属山西省人民医院,山西太原030012 [2]山西省人民医院呼吸科,山西太原030053
摘    要:目的分析慢性阻塞性肺疾病(chronic obstructive pulmonary diseases,COPD)合并肺癌的危险因素,比较各危险因素在COPD合并肺癌中影响的差异性。方法对2011年至2013年山西省人民医院所有COPD合并肺癌患者进行对照分析。结果性别、年龄、吸烟史是COPD合并肺癌的独立危险因素;肺癌发生的OR值分别为:合并/肺癌,<50岁者0.2,5070岁者0.44,>70岁者3.00);合并/肺癌/COPD,<600支/年11∶20∶13;60070岁者0.44,>70岁者3.00);合并/肺癌/COPD,<600支/年11∶20∶13;6001000支/年14∶6∶4,>1000支/年9∶8∶17。结论年龄在70岁以上,吸烟指数在6001000支/年14∶6∶4,>1000支/年9∶8∶17。结论年龄在70岁以上,吸烟指数在6001000支/年的男性患者是发生COPD合并肺癌的主要危险因素。

关 键 词:肺癌  阻塞性肺疾病  危险因素

Chronic Obstructive Pulmonary Disease with Risk Factors for Lung Cancer
ZHOU Hong-yu,DU Yong-cheng,ZHANG Ai-zhen.Chronic Obstructive Pulmonary Disease with Risk Factors for Lung Cancer[J].Guide of China Medicine,2014(10):48-49.
Authors:ZHOU Hong-yu  DU Yong-cheng  ZHANG Ai-zhen
Institution:1 The Affiliated Shanxi People's Hospital, Shanxi Medicial University, Taiyuan 030012; 2 Department of Respiratory, Shanxi People's Hospital, Taiyuan 030053, China)
Abstract:Objective To analyze the risks of chronic obstructive puml onary disease (COPD) and lung cancer, compare the difference of influece during the risks in COPD and lung cancer. Methods For 2011-2013 Shanxi Provincial People's ttospital, all COPD patients with lung cancer were compared.. Result Gender, age, smoking history is an independent risk factor for COPD with lung cancer; OR value of lung cancer was 2.21 (merger/lung, 〈50 years of age to 70 years of age 0.2,50 0.44,〉70 years of age 3.00), (merge/lung/COPD, 〈600/year 11 : 20 : 13; 600-1,000/year 14 : 6 : 4,〉 1,000/year 9 : 8 : 17). Conclusion Male Patients with age over 70, smoking indexs during 600-1000 are the main risks of COPD and lung cancer.
Keywords:Lung cancer  Obstructive lung diseases  Risk
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