重庆城市社区慢性阻塞性肺疾病流行病学调查

目的 获得重庆市城市地区慢性阻塞性肺疾病(COPD)患病率及其影响因素,为COPD早期防治提供依据.方法 2007年12月- 2008年1月,采用多级整群随机抽样方法,对重庆市南岸区城区南湖社区和裕华社区≥40岁常住居民2 133人进行问卷调查和肺功能检查,筛查其中的COPD患者,采用修订后的阻塞性肺疾病负担研究(BOLD)问卷进行调查.结果 2 024人调查问卷和肺功能检查合格,COPD患病率为7.9％( 160/2 024),男性患病率15.5％ (123/792),女性患病率3.0％ (37/1 232)；吸烟者COPD患病率达15.9％ (118/743),COPD患者73.8％(118/160)有吸烟史；男性、高龄、低体质指数、有吸烟史、吸烟指数高、14岁以前经常咳嗽史、采用煤或生物燃料烹饪时无通风设备是COPD的重要危险因素,均OR＞1,差异均有统计学意义(均P＜0.01)；COPD患者中,仅58.8％曾经被诊断为COPD等呼吸气流受限疾病,仅24.4％曾经进行过肺功能检查,23.1％ COPD患者无症状.结论 重庆市城区COPD患病率高,漏诊多,肺功能检查率低；吸烟是COPD主要危险因素；应重视COPD的早期诊断,早期防治.

Prevalence of chronic obstructive pulmonary disease in community residents of urban Chongqing

Objective To examine the prevalence and risk factors of chronic obstructive pulmonary disease(COPD)in the residents of urban Chongqing and to propose measures of early prevention and therapy. Methods A cross-sectional study on COPD was carried out from December 2007 to January 2008.Urban populations were randomly selected from Nanhu and Yuhua community in Nan'an district of Chongqing with cluster sampling.A total of 2 133 residents aged 40 years or older were interviewed with a questionnaire revised from th...