中华结核和呼吸杂志
中華結覈和呼吸雜誌
중화결핵화호흡잡지
Chinese Journal of Tuberculosis and Respiratory Diseases
2011年
9期
666-668
,共3页
凌敏%荣艳%苟安栓%牛灵%王辉%祖里培亚·艾拜都拉%朱佳%庞敏%阿依古丽·阿布来提%于碧磬%汪海涛%赵明华%韩克斯
凌敏%榮豔%茍安栓%牛靈%王輝%祖裏培亞·艾拜都拉%硃佳%龐敏%阿依古麗·阿佈來提%于碧磬%汪海濤%趙明華%韓剋斯
릉민%영염%구안전%우령%왕휘%조리배아·애배도랍%주가%방민%아의고려·아포래제%우벽경%왕해도%조명화%한극사
肺疾病,慢性阻塞性%危险因素%流行病学方法
肺疾病,慢性阻塞性%危險因素%流行病學方法
폐질병,만성조새성%위험인소%류행병학방법
Pulmonary disease,chronic obstructive%Risk factors%Epidemiology methods
目的 探讨新疆农村地区COPD危险因素的特点。方法 2007年12月至2010年12月,采用统一的流行病学调查表,以整群随机抽样方法抽取新疆南部和北部农村常住人口3575人为调查对象,进行问卷调查和肺功能检测。以支气管舒张试验后FEV1/FVC< 70%,并排除其他心肺疾病作为COPD的诊断标准。采用logistic回归分析方法进行危险因素分析。结果 将资料完整的3489人纳入分析,新疆农村COPD总患病率为4.0% (138/3489),诊治率仅为14.5%(20/138),维吾尔族的检出率最高(5.1%,90/1774),其次是哈萨克族(3.3%,26/784),汉族的检出率最低(2.4%,22/921),50岁以上人群的COPD检出率明显增高(>10%,94/743)。COPD患病风险增加的因素有维吾尔族(OR=2.79,95%CI为1.71 ~4.57)、年龄>30岁(OR =3.41,95% CI为1.62~7.18)、家族呼吸系统疾病史(OR= 1.68,95% CI为1.11 ~2.53)和烹饪行为(OR= 1.47,95%CI为1.02 ~2.12)。结论 新疆农村地区COPD患病风险与维吾尔族、年龄、家族呼吸系统疾病史及烹饪行为密切相关。需进一步了解不同民族间COPD患病风险与基因的关系,以及该地区COPD患病风险与生物燃料烟雾的关系。
目的 探討新疆農村地區COPD危險因素的特點。方法 2007年12月至2010年12月,採用統一的流行病學調查錶,以整群隨機抽樣方法抽取新疆南部和北部農村常住人口3575人為調查對象,進行問捲調查和肺功能檢測。以支氣管舒張試驗後FEV1/FVC< 70%,併排除其他心肺疾病作為COPD的診斷標準。採用logistic迴歸分析方法進行危險因素分析。結果 將資料完整的3489人納入分析,新疆農村COPD總患病率為4.0% (138/3489),診治率僅為14.5%(20/138),維吾爾族的檢齣率最高(5.1%,90/1774),其次是哈薩剋族(3.3%,26/784),漢族的檢齣率最低(2.4%,22/921),50歲以上人群的COPD檢齣率明顯增高(>10%,94/743)。COPD患病風險增加的因素有維吾爾族(OR=2.79,95%CI為1.71 ~4.57)、年齡>30歲(OR =3.41,95% CI為1.62~7.18)、傢族呼吸繫統疾病史(OR= 1.68,95% CI為1.11 ~2.53)和烹飪行為(OR= 1.47,95%CI為1.02 ~2.12)。結論 新疆農村地區COPD患病風險與維吾爾族、年齡、傢族呼吸繫統疾病史及烹飪行為密切相關。需進一步瞭解不同民族間COPD患病風險與基因的關繫,以及該地區COPD患病風險與生物燃料煙霧的關繫。
목적 탐토신강농촌지구COPD위험인소적특점。방법 2007년12월지2010년12월,채용통일적류행병학조사표,이정군수궤추양방법추취신강남부화북부농촌상주인구3575인위조사대상,진행문권조사화폐공능검측。이지기관서장시험후FEV1/FVC< 70%,병배제기타심폐질병작위COPD적진단표준。채용logistic회귀분석방법진행위험인소분석。결과 장자료완정적3489인납입분석,신강농촌COPD총환병솔위4.0% (138/3489),진치솔부위14.5%(20/138),유오이족적검출솔최고(5.1%,90/1774),기차시합살극족(3.3%,26/784),한족적검출솔최저(2.4%,22/921),50세이상인군적COPD검출솔명현증고(>10%,94/743)。COPD환병풍험증가적인소유유오이족(OR=2.79,95%CI위1.71 ~4.57)、년령>30세(OR =3.41,95% CI위1.62~7.18)、가족호흡계통질병사(OR= 1.68,95% CI위1.11 ~2.53)화팽임행위(OR= 1.47,95%CI위1.02 ~2.12)。결론 신강농촌지구COPD환병풍험여유오이족、년령、가족호흡계통질병사급팽임행위밀절상관。수진일보료해불동민족간COPD환병풍험여기인적관계,이급해지구COPD환병풍험여생물연료연무적관계。
ObjectiveTo evaluate the risk factors for chronic obstructive pulmonary disease (COPD) in Xinjiang rural areas.Methods This was a population-based and cross-sectional survey on prevalence of COPD in Xinjiang from December 2007 to December 2010.The clusterrandomsampling method was performed to collect the data from 3575 people in rural areas in southern(mainly with the Uygur nationality and Han nationality) and northern (mainly with Hazakh nationality and Han nationality) parts of Xinjiang. The subjects were interviewed with questionnaires and tested with spirometry. A postbronchodilator FEV1/FVC < 70% was defined as diagnostic of COPD. Results Completed data were obtained from 3489 participants. The average prevalence of COPD was 4.0% (138/3489). Of the 138COPD patients, only 20 (14.5% , 20/138) had received diagnosis and treatment.The prevalence of COPD in Uygurs was higher (5.1%, 90/1774) than that in Hazakhs (3.3%, 26/784) and that in Hans (2.4%,22/921).The prevalence of COPD in population older than 50 years increased significantly (> 10%,94/743).Logistic regression model was conducted and statistical association of COPD was found with Uygurs (OR=2.79, 95% CI: 1.71-4.57), older than 30 years (OR =3.41, 95% CI: 1.62-7.18), family history of respiratory diseases (OR = 1.68, 95% CI: 1.11-2.53), and cooking behavior (OR = 1.47,95%CI:1.02-2.12). ConclusionsHigher risk for COPD was related with Uygurs, older age, family history of respiratory diseases,and cooking behavior.Whether difference in the prevalence of COPD among different ethnics is related to genetic background, and the relationship between biofuels and other risk factors for COPD need further study.