尘肺并发慢性阻塞性肺疾病及其影响因素研究

发布时间：2018-06-02 01:41

本文选题：尘肺 + 慢性阻塞性肺疾病　；参考：《中南大学》2012年硕士论文

【摘要】：目的：了解尘肺并发慢性阻塞性肺疾病的患病情况,并探讨其影响因素。为防治尘肺病和COPD的一级预防提供依据。方法：以湖南省5家省级矿业公司近5年新诊断尘肺(均为矽肺或煤工尘肺)的患者为研究对象,对受试者进行肺功能、胸片检查,同时收集其年龄、工种、工龄、吸烟情况、身高、体重、既往病史等资料。收集的全部数据采用SPSS18.0进行统计学分析。结果：相同年龄阶段,尘肺患者COPD患病率明显高于普通人群。尘肺患者COPD患病率与尘肺期别、接尘年限、年龄、吸烟与否、吸烟指数有关,即随着尘肺期别、接尘时间、年龄、吸烟强度的增加,COPD患病率有增高的趋势。50岁以后尘肺患者COPD患病率明显增高。尘肺并发COPD的患者BMI较尘肺非COPD患者低。结论：(1)尘肺患者COPD患病率明显高于普通人群。 (2)尘肺期别、接尘时间、吸烟、吸烟指数、年龄、BMI为COPD患病的影响因素。 (3)尘肺期别是尘肺并发COPD的最大影响因素。
[Abstract]:Objective: to investigate the prevalence of pneumoconiosis complicated with chronic obstructive pulmonary disease (COPD) and its influencing factors. To provide basis for primary prevention of pneumoconiosis and COPD. Methods: patients with pneumoconiosis (silicosis or coal worker pneumoconiosis) from 5 provincial mining companies in Hunan province were selected as study subjects. Lung function, chest radiography, age, type of work, length of service, smoking status were collected at the same time. Height, weight, past medical history and other data. All the collected data were statistically analyzed by SPSS18.0. Results: the prevalence of COPD in patients with pneumoconiosis was significantly higher than that in the general population at the same age. The prevalence rate of COPD in patients with pneumoconiosis was related to the stage of pneumoconiosis, years of exposure to dust, age, smoking or not, smoking index, that is, with pneumoconiosis stage, exposure time, age, The prevalence of COPD in pneumoconiosis patients after 50 years old was higher than that in patients with pneumoconiosis. The BMI of pneumoconiosis complicated with COPD was lower than that of non-COPD pneumoconiosis. Conclusion the prevalence of COPD in patients with pneumoconiosis is significantly higher than that in the general population. (2) Pneumoconiosis stage, dust exposure time, smoking index and age were the influencing factors of COPD. 3) pneumoconiosis is the most important factor in pneumoconiosis complicated with COPD.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R135.2;R563.9

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