基于吉林省长春市区居民肺功能筛查的慢性阻塞性肺疾病患病现况调查分析

发布时间：2018-03-03 20:06

  本文选题：慢性阻塞性肺疾病　切入点：患病率　出处：《吉林大学学报(医学版)》2017年05期 　论文类型：期刊论文

【摘要】：目的:调查吉林省长春市区40周岁以上居民慢性阻塞性肺疾病(COPD)的患病现况,阐明肺功能检查早期应用的重要意义。方法:选择以吉林大学第二医院为中心的周边10个社区街道办事处,由社区工作人员协助随机招募年龄≥40周岁的长春市居民作为调查对象,主要进行问卷调查及肺功能检查,COPD诊断参照2015年GOLD指南标准执行。将COPD患者分为确诊组和漏诊组,再将吸烟COPD患者分为戒烟组和未戒烟组,分别比较各组肺功能指标。结果:共调查40周岁以上居民1 392人,其中男性568人,女性824人,平均年龄为(59.59±6.60)岁。其中COPD患者176例,患病率为12.64%;新发现即漏诊患者160例,漏诊率为90.91%;曾确诊为COPD 16例,诊断率仅为9.09%。吸烟人群中COPD患病率为20.71%,明显高于非吸烟人群的患病率(8.8%,P0.05)。对吸烟指数和COPD患者肺功能进行相关性分析,戒烟组患者肺功能指标除用力肺活量占预计值的百分比(FVC%)、最大呼气中期流速占预计值的百分比(MMEF%)外均随着吸烟指数的增加而下降(P0.05),未戒烟组COPD患者肺功能指标除FVC%外均随着吸烟指数的增加而下降(P0.05)。结论:长春市区40周岁以上居民COPD存在高患病率及高漏诊率,应对人群进行肺功能筛查以发现更多的COPD患者,使其得到早期诊治。
[Abstract]:Objective: to investigate the prevalence of chronic obstructive pulmonary disease (cod) in residents over 40 years old in Changchun, Jilin Province. To elucidate the significance of early application of pulmonary function examination. Methods: select 10 neighborhood offices around the second Hospital of Jilin University. The residents of Changchun over 40 years of age were recruited randomly by community workers to carry out questionnaire survey and pulmonary function examination according to the criteria of GOLD guidelines of 2015. The patients were divided into two groups: diagnosed group and missed diagnosis group. The patients with smoking COPD were divided into smoking cessation group and non smoking cessation group, and the pulmonary function indexes were compared among them. Results: a total of 1 392 people over 40 years old were investigated, including 568 males and 824 females, with an average age of 59.59 卤6.60 years, including 176 patients with COPD. The prevalence rate was 12.64. There were 160 newly discovered patients with missed diagnosis, with a missed diagnosis rate of 90.91. 16 cases were diagnosed with COPD. The diagnostic rate was only 9.09.The prevalence of COPD was 20.71 in the smoking population, which was significantly higher than that in the non-smoking population (8.8%). The correlation between the smoking index and the pulmonary function of COPD patients was analyzed. The pulmonary function indexes of patients with smoking cessation decreased with the increase of smoking index except forced vital capacity as a percentage of predicted value and maximum midexpiratory flow rate as a percentage of predicted value (P 0.05). The pulmonary function indexes of patients with COPD in non-smoking group were all decreased with the increase of smoking index. The pulmonary function indexes of patients with COPD in non-smoking cessation group were all decreased with the increase of smoking index (P < 0.05). FVC% decreased with the increase of smoking index. Conclusion: there is a high prevalence rate and high missed diagnosis rate of COPD in residents over 40 years old in Changchun. Lung function screening should be performed to identify more COPD patients and to get early treatment.
【作者单位】： 吉林大学第二医院呼吸与危重症医学科;首都医科大学附属潞河医院急诊科;北京市通州区新华医院骨科;
【基金】：吉林省科技厅医药产业发展引导资金项目资助课题(20150311066YY)
【分类号】：R563.9
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本文编号：1562496