农垦医学
農墾醫學
농은의학
AGRICULTURAL RECLAMATION MEDICINE
2014年
1期
22-25
,共4页
李峰%秦勇%魏新素%赵恬
李峰%秦勇%魏新素%趙恬
리봉%진용%위신소%조념
慢性阻塞性肺疾病%肺功能%诊断%流行病学
慢性阻塞性肺疾病%肺功能%診斷%流行病學
만성조새성폐질병%폐공능%진단%류행병학
COPD%Pulmonary Function%Diagnosis%Epidemiology
目的：了解南疆地区综合医院术前常规肺功能检查的人群慢性阻塞性肺疾病患病情况。方法：对新疆生产建设兵团第一师医院需行术前常规肺功能检查的所有患者进行问卷调查和肺功能测定，包括第1秒用力呼气容积（FEV1）及用力肺活量（FVC），对FEV1／FVC＜70％的受试者行支气管舒张试验，吸人沙丁胺醇气雾剂200μg后FEV1／FVC＜70％者诊断为慢阻肺。并计算受检人群慢阻肺的患病率及漏诊率。结果：完成肺功能检测和问卷者共860例，平均年龄63．3±3．7岁；男390例，女470例；汉族730例，少数名族130例。最终确诊为慢阻肺290例，平均年龄66．2±2．3岁，患病率为33．7％，其中男性患病率47．2％，女性患病率22．6％；汉族患病率为34．2％，少数民族的患病率为30．8％。按年龄分层，各年龄层的患病率随年龄的增长而增高。按GOLD分级分层，以Ⅰ、Ⅱ级患病率较高分别为25．7％、43．3％。经检查确诊的慢阻肺患者中既往明确诊断者仅69例，诊断率23．8％，漏诊率达76．2％。女性漏诊率77．4％高于男性62．9％；少数民族漏诊率82．5％高于汉族75．2％。各年龄层的漏诊率基本高于80％，＞70岁组较低为71．5％。而按GOLD分级分层，GOLD分级Ⅰ-Ⅳ级的漏诊率分别为87．8％、83．3％、80．6％、71．4％，以Ⅰ、Ⅱ级漏诊率较高。结论：南疆地区综合医院手术患者中慢阻肺患病率高，但诊断率低，漏诊率高。对住院患者中慢阻肺的高危人群进行肺功能的筛检是必要的、可行的。
目的：瞭解南疆地區綜閤醫院術前常規肺功能檢查的人群慢性阻塞性肺疾病患病情況。方法：對新疆生產建設兵糰第一師醫院需行術前常規肺功能檢查的所有患者進行問捲調查和肺功能測定，包括第1秒用力呼氣容積（FEV1）及用力肺活量（FVC），對FEV1／FVC＜70％的受試者行支氣管舒張試驗，吸人沙丁胺醇氣霧劑200μg後FEV1／FVC＜70％者診斷為慢阻肺。併計算受檢人群慢阻肺的患病率及漏診率。結果：完成肺功能檢測和問捲者共860例，平均年齡63．3±3．7歲；男390例，女470例；漢族730例，少數名族130例。最終確診為慢阻肺290例，平均年齡66．2±2．3歲，患病率為33．7％，其中男性患病率47．2％，女性患病率22．6％；漢族患病率為34．2％，少數民族的患病率為30．8％。按年齡分層，各年齡層的患病率隨年齡的增長而增高。按GOLD分級分層，以Ⅰ、Ⅱ級患病率較高分彆為25．7％、43．3％。經檢查確診的慢阻肺患者中既往明確診斷者僅69例，診斷率23．8％，漏診率達76．2％。女性漏診率77．4％高于男性62．9％；少數民族漏診率82．5％高于漢族75．2％。各年齡層的漏診率基本高于80％，＞70歲組較低為71．5％。而按GOLD分級分層，GOLD分級Ⅰ-Ⅳ級的漏診率分彆為87．8％、83．3％、80．6％、71．4％，以Ⅰ、Ⅱ級漏診率較高。結論：南疆地區綜閤醫院手術患者中慢阻肺患病率高，但診斷率低，漏診率高。對住院患者中慢阻肺的高危人群進行肺功能的篩檢是必要的、可行的。
목적：료해남강지구종합의원술전상규폐공능검사적인군만성조새성폐질병환병정황。방법：대신강생산건설병단제일사의원수행술전상규폐공능검사적소유환자진행문권조사화폐공능측정，포괄제1초용력호기용적（FEV1）급용력폐활량（FVC），대FEV1／FVC＜70％적수시자행지기관서장시험，흡인사정알순기무제200μg후FEV1／FVC＜70％자진단위만조폐。병계산수검인군만조폐적환병솔급루진솔。결과：완성폐공능검측화문권자공860례，평균년령63．3±3．7세；남390례，녀470례；한족730례，소수명족130례。최종학진위만조폐290례，평균년령66．2±2．3세，환병솔위33．7％，기중남성환병솔47．2％，녀성환병솔22．6％；한족환병솔위34．2％，소수민족적환병솔위30．8％。안년령분층，각년령층적환병솔수년령적증장이증고。안GOLD분급분층，이Ⅰ、Ⅱ급환병솔교고분별위25．7％、43．3％。경검사학진적만조폐환자중기왕명학진단자부69례，진단솔23．8％，루진솔체76．2％。녀성루진솔77．4％고우남성62．9％；소수민족루진솔82．5％고우한족75．2％。각년령층적루진솔기본고우80％，＞70세조교저위71．5％。이안GOLD분급분층，GOLD분급Ⅰ-Ⅳ급적루진솔분별위87．8％、83．3％、80．6％、71．4％，이Ⅰ、Ⅱ급루진솔교고。결론：남강지구종합의원수술환자중만조폐환병솔고，단진단솔저，루진솔고。대주원환자중만조폐적고위인군진행폐공능적사검시필요적、가행적。
Objective:To investigate the COPD diagnostic situation of patients who have performed routine pulmona -ry function tests before operation in a general hospital of Southern Xinjiang .Methods:The patients who have performed rou-tine pulmonary function tests before operation in a general hospital of Southern Xinjiang were recruited .A questionnaire sur-vey was conducted and spirometry was performed .COPD was defined as a ratio of forced expiratory volume in the first sec-ond of expiration to forced vital capacity ( FEV1/FVC) of less than 0.7 after use of postbronchodilator .The morbidity and underdiagnosis rate of COPD was calculated .Results:860 subjects were available for the analysis due to performing both the eligible questionnaire and the spirometry test .390 were male,470 were female,730 were the Han nationality ,130 were the minority.290 patients of the subjects were diagnosed COPD .The total prevalence rate of COPD was 33.7%(47.2%among men;22.6%among women;34.2%among the Han nationality;30.8%among the minority).The average age of COPD pa-tients is 66.2 ±2.3.Only 23.8%(69/290)of the COPD patients had been diagnosed previously .The underdiagnosis rate of COPD was 76.2%(62.9%among men;77.4%among women;75.2% among the Han nationality;82.5% among the minority).Conclusion:The morbidity and underdiagnosis rate of COPD is high in patients who have performed routine pul -monary function tests before operation in a general hospital of Southern Xinjiang .It is necessary and feasible to perform rou-tine pulmonary function tests for inpatients in general hospitals .
