發(fā)布時(shí)間：2018-03-03 20:06

  本文選題：慢性阻塞性肺疾病　切入點(diǎn)：患病率　出處：《吉林大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年05期 　論文類(lèi)型：期刊論文

【摘要】：目的:調(diào)查吉林省長(zhǎng)春市區(qū)40周歲以上居民慢性阻塞性肺疾病(COPD)的患病現(xiàn)況,闡明肺功能檢查早期應(yīng)用的重要意義。方法:選擇以吉林大學(xué)第二醫(yī)院為中心的周邊10個(gè)社區(qū)街道辦事處,由社區(qū)工作人員協(xié)助隨機(jī)招募年齡≥40周歲的長(zhǎng)春市居民作為調(diào)查對(duì)象,主要進(jìn)行問(wèn)卷調(diào)查及肺功能檢查,COPD診斷參照2015年GOLD指南標(biāo)準(zhǔn)執(zhí)行。將COPD患者分為確診組和漏診組,再將吸煙COPD患者分為戒煙組和未戒煙組,分別比較各組肺功能指標(biāo)。結(jié)果:共調(diào)查40周歲以上居民1 392人,其中男性568人,女性824人,平均年齡為(59.59±6.60)歲。其中COPD患者176例,患病率為12.64%;新發(fā)現(xiàn)即漏診患者160例,漏診率為90.91%;曾確診為COPD 16例,診斷率僅為9.09%。吸煙人群中COPD患病率為20.71%,明顯高于非吸煙人群的患病率(8.8%,P0.05)。對(duì)吸煙指數(shù)和COPD患者肺功能進(jìn)行相關(guān)性分析,戒煙組患者肺功能指標(biāo)除用力肺活量占預(yù)計(jì)值的百分比(FVC%)、最大呼氣中期流速占預(yù)計(jì)值的百分比(MMEF%)外均隨著吸煙指數(shù)的增加而下降(P0.05),未戒煙組COPD患者肺功能指標(biāo)除FVC%外均隨著吸煙指數(shù)的增加而下降(P0.05)。結(jié)論:長(zhǎng)春市區(qū)40周歲以上居民COPD存在高患病率及高漏診率,應(yīng)對(duì)人群進(jìn)行肺功能篩查以發(fā)現(xiàn)更多的COPD患者,使其得到早期診治。
[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 鹵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.
【作者單位】： 吉林大學(xué)第二醫(yī)院呼吸與危重癥醫(yī)學(xué)科;首都醫(yī)科大學(xué)附屬潞河醫(yī)院急診科;北京市通州區(qū)新華醫(yī)院骨科;
【基金】：吉林省科技廳醫(yī)藥產(chǎn)業(yè)發(fā)展引導(dǎo)資金項(xiàng)目資助課題(20150311066YY)
【分類(lèi)號(hào)】：R563.9
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本文編號(hào)：1562496