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目的调查永嘉县40岁及以上居民慢性阻塞性肺疾病(COPD)患病率及其危险因素,为制定COPD预防控制策略和评估相关卫生政策提供依据。方法依据《中国慢性阻塞性肺疾病监测工作手册》(2014)要求,抽取600名≥40岁的永嘉县居民进行问卷调查、身体检查及肺功能检查。应用Logistic回归分析COPD的危险因素。结果 585名常住居民完成调查,发现COPD 85例,患病率为14.53%。男性COPD患病率高于女性(P<0.01),患病率随年龄增长呈上升趋势(P<0.01)。多因素Logistic回归分析显示男性(OR=1.962,95%CI:1.025~3.757)、咳痰(OR=2.346,95%CI:1.148~4.794)及高龄(OR=2.561和7.438,95%CI:1.221~5.372和3.601~15.361)是造成COPD的危险因素。结论永嘉县居民COPD患病率偏高,应重视40岁及以上咳痰男性的COPD监测和干预。
Objective To investigate the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) among residents aged 40 years and over in Yongjia County, and to provide basis for the development of COPD prevention and control strategies and assessment of related health policies. Methods According to the “Handbook of Chronic Obstructive Pulmonary Disease Surveillance in China” (2014), 600 residents aged 40 and over were investigated by questionnaires, physical examination and pulmonary function tests. Logistic regression analysis of risk factors for COPD. Results 585 permanent residents completed the survey and found that 85 cases of COPD, the prevalence was 14.53%. The prevalence of COPD in males was higher than that in females (P <0.01), and the prevalence increased with age (P <0.01). Multivariate logistic regression analysis showed that male (OR = 1.962, 95% CI: 1.025-3.757), expectoration (OR = 2.346,95% CI: 1.148-4.794) and elderly (OR = 2.561 and 7.438, 95% CI: 1.221 ~ 5.372 and 3.601 ~ 15.361) are risk factors for COPD. Conclusion The prevalence of COPD is high in residents of Yongjia County. COPD monitoring and intervention should be emphasized in expectorant men aged 40 and above.