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目的:了解吉林市农村慢性阻塞性肺疾病(COPD)的患病情况及相关危险因素。方法:从2005年11月~2008年5月,采用机械抽样方法,以吉林市3个乡镇中的27个自然村作为调查现场,并以常住40岁以上人群作为调查对象,1秒钟用力呼气量/用力肺活量(FEV 1/FVC)<70%者诊断为COPD。结果:调查的3254人中确诊为COPD的为403例,占12.4%。其中吸烟人群的患病率为26.1%;有职业危害接触史人群的患病率为18.8%;居住环境空气污染的人群患病率为14.5%;均高于总体患病率,经比较差异有统计学意义(P<0.05)。结论:吉林市部分农村COPD的患病率为12.4%,除吸烟为主要危险因素外,职业因素与居住环境也是造成COPD的危险因素。
Objective: To understand the prevalence and related risk factors of chronic obstructive pulmonary disease (COPD) in rural areas of Jilin City. Methods: From November 2005 to May 2008, 27 villages in 3 villages and towns in Jilin City were selected as the survey site by mechanical sampling method. The population over 40 years old was taken as the survey object and forced exhaled for 1 second Volume / forced vital capacity (FEV 1 / FVC) <70% were diagnosed as COPD. Results: 403 out of 3254 people diagnosed with COPD were diagnosed, accounting for 12.4%. Among them, the prevalence rate of smokers was 26.1%; the prevalence rate of occupational exposure to history was 18.8%; the prevalence of air pollution in living environment was 14.5%; all were higher than the overall prevalence rate Statistical significance (P <0.05). Conclusion: The prevalence of COPD in some rural areas of Jilin City is 12.4%. Besides smoking as the main risk factor, occupational factors and living environment are also risk factors of COPD.