中国大陆人群慢性阻塞性肺疾病发病危险因素的Meta分析

目的 探讨中国大陆人群慢性阻塞性肺疾病(COPD)发生的主要危险因素 ,为预防决策提供依据.方法 应用Meta分析方法对国内8篇有关COPD发病主要危险因素的病例-对照研究结果进行定量综合分析 ;采用RevMan5 .2进行一致性检验及合并 OR值和95% CI计算 ,对合并 OR值大于1的危险因素进行人群归因危险度百分比(PARP)计算.结果 各因素合并OR(95% CI) ,PARP分别为 :吸烟 OR= 2 .12(1 .58~2 .86) ,PARP= 28 .16% ;职业暴露 OR= 1 .82(1 .04~3 .18) ,PARP=11 .60% ;呼吸疾病家族史OR=1 .82(1 .36~2 .44) ,PARP= 14 .25% ;煤、生物燃料 OR=3 .29(1 .01~10 .67) ,PARP=41 .29% ;低体质量指数(BMI)OR=2 .58(1 .78~3 .74) ,PARP=5 .71% ;低文化程度 OR=1 .24(1 .02~1 .50) ,PARP=12 .93% ;儿童时期反复呼吸道感染史 OR=2 .10(0 .99~4 .47) ,PARP=13 .39% ;被动吸烟 OR=1 .00(0 .89~1 .11).结论 吸烟、职业暴露、呼吸疾病家族史、煤及生物燃料、低BMI、文化程度低及儿童时期慢性呼吸道感染史是目前中国大陆人群COPD发病的危险因素.

Meta analysis on risk factors of chronic obstructive pulmonary disease among Chinese people in mainland

Objective To explore the main risk factorrelated to the incidence of chroniobstructive pulmonary disease (COPD) among Chinese people in mainland so ato provide the basifothe decision making on COPD prevention .MethodEighpublished literatureof case-control studieon the risk factoof COPD were collected and analyzed quantitatively and synthetically by the metanalysi;the RevMan 5 .2 software waadopted to perform the consistency tesand calculate the pooled oddradio (OR) value and 95% CI .The risk factorwith the Ovalue＞1 were performed the calculation of population attributable risk pro-portion(PARP) .ResultThe pooled oddradio value,95% CI and PARP were smoking OR= 2 .12(1 .58 -2 .86) ,PARP=28 .16% ;occupational exposure OR=1 .82(1 .04-3 .18) ,PARP=11 .60% ;family history of respiratory disease OR=1 .82(1 .36-2 .44) ,PARP=14 .25% ;coal and biomasfuel focooking and heating OR=3 .29(1 .01-10 .67) ,PARP=41 .29% ;low body masindex OR=2 .58(1 .78-3 .74) ,PARP=5 .71% ;low educational degree OR=1 .24(1 .02 -1 .50) ,PARP=12 .93% ;history of re-currenrespiratory tracinfection during childhood OR= 2 .10 (0 .99 -4 .47 ) ,PARP= 13 .39% ;passitive smoking OR= 1 .00 (0 .89-1 .11) .Conclusion Smoking ,occupational exposure ,family history of respiratory disease ,coal and biomasfuel focooking and heating ,low body masindex ,low educational degree and history of recurrenrespiratory tracinfection during childhood are the risk factorinfluencing the incidence of COPD among Chinese people in mainland .