沈阳市城市老年人哮喘流行病学调查分析

目的 调查沈阳市城市老年人支气管哮喘（哮喘）的患病情况，分析其哮喘的特点，指导老年人哮喘的防治。方法 在沈阳市城市人口哮喘患病率流行病学调查的基础上，对≥60岁的老年哮喘患者的患病情况进行分析。结果 确诊老年人哮喘164例（男66、女98例），患病率为5.175（男4.31%、女5.97%），女性高于男性（P＜0.05）；工业区老年人哮喘的患病率明显高于文化区（患病率分别为6.49%、4.28%，P＜0.01）；起病年龄在60岁及以上者46人，占28.05%；慢性阻塞性肺部疾病（COPD）合并哮喘52例，占31.71%；调查发现老年人哮喘的治疗不规范。结论 老年人哮喘是不容忽视的疾病，加强管理与防治极为重要。

Epidemiological investigation of asthma in elderly urban inhabitants in Shenyang

Objective To investigate the asthma incidence in urban inhabitants in Shenyang and to analyze the asthma features in old patients. Methods The incidence of asthma in old people aged 60 years and over was analyzed on the basis of epidemiological investigation on urban area in Shenyang. Results 164 cases (66 male and 98 female) were diagnosed as asthma. The overall incidence of asthma was 5.17%(male 4.31%, female 5.97%, P<0.01). Among those elderly asthma patients, the first attack in 46 cases (28.05%) at the aged 60 years old and , and 52 cases (31.71%) were complicated with COPD. Conclusions Asthma is still a serious disease among urban old residents. Prevention, management and treatment of asthma in the elderly should be strengthened.