CAJ | 학술논문

目的了解青海高原慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)所致慢性肺源性心脏病的患病情况.方法采用分层、不等比、整群随机抽样方法对青海省≥15岁共计23 725人,按照"慢性阻塞性肺疾病,肺心病高危人群基线调查表"进行COPD流行病学调查.对肺功能检查筛选出的COPD患者进行X线胸片、12导联心电图检查.慢性肺源性心脏病诊断采用1980年全国慢性肺源性心脏病会议诊断标准.结果在检出159例COPD患者中,共诊断慢性肺源性心脏病62例(男性45例,女性17例),占COPD 38.99%(62/159),占调查人群的0.26%(62/24 196).青海地区慢性肺源性心脏病分布特点是:男性患病率高于女性,占慢性肺源性心脏病总数的72.58%;随着年龄的增大,患病率增加,患病率最高为60～69岁年龄组;职业分布以农民为最高,依次为城镇居民、半农半牧民、干部、牧民;海拔越低患病率越高,海拔1 920～2 500 m慢性肺源性心脏病患病率0.37%,占慢性肺源性心脏病总人数的82.26%.结论青海高原地区COPD所致慢性肺源性心脏病的患病率较低.
목적 료해청해고원만성조새성폐질병(chronic obstructive pulmonary disease,COPD)소치만성폐원성심장병적환병정황.방법 채용분층、불등비、정군수궤추양방법대청해성≥15세공계23 725인,안조"만성조새성폐질병,폐심병고위인군기선조사표"진행COPD류행병학조사.대폐공능검사사선출적COPD환자진행X선흉편、12도련심전도검사.만성폐원성심장병진단채용1980년전국만성폐원성심장병회의진단표준.결과 재검출159례COPD환자중,공진단만성폐원성심장병62례(남성45례,녀성17례),점COPD 38.99%(62/159),점조사인군적0.26%(62/24 196).청해지구만성폐원성심장병분포특점시:남성환병솔고우녀성,점만성폐원성심장병총수적72.58%;수착년령적증대,환병솔증가,환병솔최고위60～69세년령조;직업분포이농민위최고,의차위성진거민、반농반목민、간부、목민;해발월저환병솔월고,해발1 920～2 500 m만성폐원성심장병환병솔0.37%,점만성폐원성심장병총인수적82.26%.결론 청해고원지구COPD소치만성폐원성심장병적환병솔교저.
Objective To investigate the prevalence of chronic cor pulmonale (CCP) with chronic obstructive pulmonary disease (COPD) in Qinghai Plateau. Methods Using the questionaire of high risk group COPD the survey was performed to the 23 725 population aged over 15 years by random disproportional cluster sampling in Qinghai Plateau. The COPD was diagnosed by spirometry. The CCP were confirmed according to the national criteria (1980) by chest radiography and electrocardiography.Results There were 62 CCP patients in 159 cases with COPD, among them 45 cases were male and 17cases were female. The prevalence of CCP accounted for 0.26% and for 38. 99% of the patients with COPD. Distribution of CCP in Qinghai Plateau was that CCP prevalence of males was higher than that of the female (accounted for 72. 58%). It increased with years of age and went up topmost in 60~69 years old, The prevalence of CCP of farmers was highest in the urban dwellers, half-herdsmen, cadres and pastoralists. There was the characteristical that it cut down to follow altitude upgrade. The incidence of CCP in altitude 1 920-2 500 m area was 0.37%, that account for 82. 26% of the all CCP patients of Qinghai Plateau. Conclusions The prevalence of CCP in patients with COPD was low in Qinghai Plateau.