X线胸片无明显异常的慢性咳嗽流行病学调查

发布时间：2018-04-30 01:23

本文选题：X线胸片 + 慢性咳嗽　；参考：《广东医学》2017年10期

【摘要】：目的调查广东省佛山市顺德区乐从镇X线胸片无明显异常的慢性咳嗽的流行病学特点。方法采用统一的流行病学调查表,采用多阶段随机抽样的方法,对样本进行面访式问卷调查。结果共发放调查问卷1 850份,回收有效问卷1 769份,回收率95.6%。其中男性1 115人,女性654人。慢性咳嗽的总患病率为8.65%,女性患病率为11.32%,男性患病率为7.09%,男女患病率差异有统计学意义(P0.05)。城区患病率(11.78%)明显高于工业区(5.24%)、农业区(7.03%),差异有统计学意义(P0.017)。危险因素方面,单因素logistic分析提示长期吸烟,长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史与慢性咳嗽发病有显著关联(P0.05);而多因素logistic分析提示长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史为慢性咳嗽高危因素(P0.05)。慢性咳嗽对生活质量的影响,女性大于男性。结论本地区X线胸片无明显异常的慢性咳嗽患病率较高,女性患者高于男性;其主要病因为上气道咳嗽综合征、咳嗽变异性哮喘、嗜酸性粒细胞性支气管炎、胃食管反流性咳嗽、变应性咳嗽;常见的高危因素为长期吸入粉尘、化学制剂等,常吃辣的食物,冷空气易致咳嗽,过敏史,鼻病史,胃病史;其对生活质量的影响,女性大于男性。
[Abstract]:Objective to investigate the epidemiological characteristics of chronic cough in Lecong Town, Shunde District, Foshan City, Guangdong Province. Methods A unified epidemiological questionnaire and a multi-stage random sampling were used to interview the samples. Results A total of 1 850 questionnaires were distributed and 1 769 valid questionnaires were recovered with a recovery rate of 95. 6%. Of these, 1,115 were men and 654 were women. The total prevalence of chronic cough was 8.65, that of female was 11.322.The prevalence of male was 7.09. The difference between male and female was statistically significant (P 0.05). The prevalence rate in urban area (11.78) was significantly higher than that in industrial area (5.24%), and in agricultural area (7.03), the difference was statistically significant (P 0.017). In terms of risk factors, univariate logistic analysis showed that long-term smoking, long-term inhalation of dust, chemical preparations, eating spicy food, cold air, cough, allergic history, nasal history, etc. There was a significant correlation between history of stomach and chronic cough (P 0.05), and multivariate logistic analysis showed that inhaling dust and chemical agents for a long time, eating spicy food, cold air easy to cough, allergic history, nose history and stomach history were high risk factors for chronic cough (P 0.05). The effect of chronic cough on quality of life was greater in women than in men. Conclusion the prevalence of chronic cough without obvious abnormality on chest radiographs is higher in women than in men, and the main causes are upper airway cough syndrome, cough variant asthma, eosinophil bronchitis. Gastroesophageal reflux cough, allergic cough, chronic inhalation of dust, chemical preparations and other common high risk factors, often eating spicy food, cold air, cough, allergic history, nasal history, gastric history, its influence on quality of life, Women outnumber men.
【作者单位】：广州医科大学附属乐从医院呼吸内科;广州医科大学附属第二医院呼吸内科;
【基金】：广东省医学科学技术研究基金项目(编号:B2016100)
【分类号】：R56;R816.41

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