京西地区451例煤工尘肺合并慢性阻塞性肺疾病情况调查

发布时间：2018-08-04 15:11

【摘要】：目的了解煤工尘肺合并慢性阻塞性肺疾病(简称慢阻肺)的患病情况及其高危因素、临床症状特点、用药情况。方法收集京西地区451例煤工尘肺作为研究对象,对受试者进行肺功能测定,并收集其一般资料,包括临床症状、用药,应用多因素回归分析法分析各种危险因素对尘肺患者罹患慢阻肺的作用。结果尘肺患者中慢阻肺患病率为44.6%。随着尘肺期别、接尘时间、吸烟指数的增加,尘肺患者慢阻肺患病率相应增高,其OR值分别为3.20、1.09和1.01。合并慢阻肺者CAT评分均值为25.6。煤工尘肺合并慢阻肺患者症状重,用药不规范。结论煤工尘肺患者中慢阻肺患病率明显高于普通人群;接尘时间、吸烟指数、煤工尘肺期别为其合并慢阻肺的高危因素。合并慢阻肺的患者症状重,用药不规范。
[Abstract]:Objective to investigate the prevalence of coal worker pneumoconiosis with chronic obstructive pulmonary disease (COPD) and its high risk factors, clinical symptoms and medication. Methods 451 cases of coal worker's pneumoconiosis in western Beijing were collected as the research object. The pulmonary function of the subjects was measured, and the general data, including clinical symptoms and medication, were collected. Multivariate regression analysis was used to analyze the effects of various risk factors on chronic obstructive pulmonary disease (COPD) in patients with pneumoconiosis. Results the prevalence rate of chronic obstructive pulmonary disease in pneumoconiosis patients was 44. 6%. With the increase of pneumoconiosis stage, dust exposure time and smoking index, the prevalence of chronic obstructive pulmonary disease (COPD) in patients with pneumoconiosis increased correspondingly, and their OR values were 3.20 卤1.09 and 1.01 respectively. The mean CAT score of patients with COPD was 25.6. The symptoms of coal worker pneumoconiosis complicated with chronic obstructive pulmonary disease (COPD) were severe and the medication was not standard. Conclusion the prevalence rate of chronic obstructive pulmonary disease in coal worker pneumoconiosis is significantly higher than that in the general population, the time of dust exposure, smoking index and coal worker pneumoconiosis stage are the high risk factors of chronic obstructive pulmonary disease. Patients with chronic obstructive pulmonary disease (COPD) have severe symptoms and nonstandard medication.
【作者单位】：北京京煤集团总医院呼吸内科;北京京煤集团总医院门矿医院;北京京煤集团总医院大台医院;北京门头沟区医院呼吸内科;北京市化工职业病防治院;北京市门头沟区龙泉医院;北京人民医院呼吸内科;
【基金】：门头沟区科委项目(编号:20140404)
【分类号】：R135.2;R563.9

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