CAJ | 학술논문

目的了解哈尔滨市社区慢性阻塞性肺疾病(COPD)患病率和危险因素,为COPD的防治提供客观依据.方法 2009年9月至2011年3月,对哈尔滨市5个社区40岁以上自愿接受调查的常住居民进行问卷调查及肺功能检测.以吸入支气管舒张剂后FEV1/FVC＜0.70作为诊断C0PD的肺功能标准,对符合该标准的患者通过询问病史、X线胸片和心电图检查排除其他可能导致肺功能损害的心肺疾病.结果共有1 100例有效纳入本调查,平均年龄(60.26±12.32)岁,C0PD患病率达2.95％,男性为3.95％,女性为2.08 ％,男性明显高于女性(3.95％比2.o8％,P＜0.01).COPD的主要危险因素为吸烟,在检出的COPD患者中,有吸烟史占75％.结论哈尔滨市社区COPD低于全国平均水平,患者对自己患C0PD的知晓率有所提高.
목적 료해합이빈시사구만성조새성폐질병(COPD)환병솔화위험인소,위COPD적방치제공객관의거.방법 2009년9월지2011년3월,대합이빈시5개사구40세이상자원접수조사적상주거민진행문권조사급폐공능검측.이흡입지기관서장제후FEV1/FVC＜0.70작위진단C0PD적폐공능표준,대부합해표준적환자통과순문병사、X선흉편화심전도검사배제기타가능도치폐공능손해적심폐질병.결과 공유1 100례유효납입본조사,평균년령(60.26±12.32)세,C0PD환병솔체2.95％,남성위3.95％,녀성위2.08 ％,남성명현고우녀성(3.95％비2.o8％,P＜0.01).COPD적주요위험인소위흡연,재검출적COPD환자중,유흡연사점75％.결론 합이빈시사구COPD저우전국평균수평,환자대자기환C0PD적지효솔유소제고.
Objective To study the prevalence and risk factors of chronic obstructive pulmonary disease (COPD),and provide reliable data of COPD prevention and management.Methods The residents in five communities of Harbin,aged over 40 years old.were recruited voluntarily from September 2009 to March 2011 using the questionnaire survey and the lung function examination.The post-bronchodilator FEV1/FVC＜ 0.70 was defined as COPD.Those individuals with FEV1/FVC lower than 0.7 would received history inquiry,X-ray of chest and ECG to exclude other disease that could impair pulmonary function.Results 1 100 subjects were enrolled in this study,the mean age of these subjects was (60.26±12.32) years.The overall prevalence of COPD was 2.95％,of which,the male prevalence was 3.95％,the female prevalence was 2.08％.The male prevalence was significantly higher than the female prevalence (3.95％ vs 2.08％,P ＜0.01).The major risk was factor was cigarettes smoking.Of the COPID,75％ (24/32)were smokers.Conclusions The prevalence of COPD in Harbin is lower than average level of the whole country and public awareness of the COPD has been increasing.