临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
3期
500-503
,共4页
慢性阻塞性肺疾病%筛查问卷%肺功能%早期诊断
慢性阻塞性肺疾病%篩查問捲%肺功能%早期診斷
만성조새성폐질병%사사문권%폐공능%조기진단
chronic obstructive pulmonary disease%screening questionnaire%pulmonary function%early di-agnosis
目的：探讨慢性阻塞性肺疾病(简称慢阻肺)患病率及危险因素,提高慢阻肺早期诊断率。方法使用统一问卷对体检中心483例体检人员进行问卷调查,然后进行肺功能检测。结果慢阻肺组得分较非慢阻肺组高(P<0．01)。问卷得分与FEV1/FVC呈负相关(P<0．01)。以17分为截断点时,问卷的灵敏度、特异度、假阳性率、假阴性率、正确诊断指数、约登指数、阳性似然比、阴性似然比分别为97．3%、71．3%、28．7%、2．7%、73．3%、0．69、3．39、0．04。 ROC分析曲线下面积为0．919,本人群最佳截断点为19．5分。慢阻肺总患病率为7．6%,男性患病率高于女性( P<0．01),随年龄增大慢阻肺患病率增大。性别、年龄、吸烟、BMI、学历与患慢阻肺危险性因素有关。结论慢阻肺筛查问卷可以用来初步筛查慢阻肺高危人群,结合肺功能检查可提高慢阻肺早期诊断率。
目的：探討慢性阻塞性肺疾病(簡稱慢阻肺)患病率及危險因素,提高慢阻肺早期診斷率。方法使用統一問捲對體檢中心483例體檢人員進行問捲調查,然後進行肺功能檢測。結果慢阻肺組得分較非慢阻肺組高(P<0．01)。問捲得分與FEV1/FVC呈負相關(P<0．01)。以17分為截斷點時,問捲的靈敏度、特異度、假暘性率、假陰性率、正確診斷指數、約登指數、暘性似然比、陰性似然比分彆為97．3%、71．3%、28．7%、2．7%、73．3%、0．69、3．39、0．04。 ROC分析麯線下麵積為0．919,本人群最佳截斷點為19．5分。慢阻肺總患病率為7．6%,男性患病率高于女性( P<0．01),隨年齡增大慢阻肺患病率增大。性彆、年齡、吸煙、BMI、學歷與患慢阻肺危險性因素有關。結論慢阻肺篩查問捲可以用來初步篩查慢阻肺高危人群,結閤肺功能檢查可提高慢阻肺早期診斷率。
목적：탐토만성조새성폐질병(간칭만조폐)환병솔급위험인소,제고만조폐조기진단솔。방법사용통일문권대체검중심483례체검인원진행문권조사,연후진행폐공능검측。결과만조폐조득분교비만조폐조고(P<0．01)。문권득분여FEV1/FVC정부상관(P<0．01)。이17분위절단점시,문권적령민도、특이도、가양성솔、가음성솔、정학진단지수、약등지수、양성사연비、음성사연비분별위97．3%、71．3%、28．7%、2．7%、73．3%、0．69、3．39、0．04。 ROC분석곡선하면적위0．919,본인군최가절단점위19．5분。만조폐총환병솔위7．6%,남성환병솔고우녀성( P<0．01),수년령증대만조폐환병솔증대。성별、년령、흡연、BMI、학력여환만조폐위험성인소유관。결론만조폐사사문권가이용래초보사사만조폐고위인군,결합폐공능검사가제고만조폐조기진단솔。
Objective To discuss the risk factors and to improve the diagnostic rate of chronic obstructive pulmonary diseases. Methods 483 people visiting the medical examination center were recruited and their data were acquired by questionnaires. Then they were given pulmonary function test. Results Compared with the non-COPD group, the scores of the questionnaires were significantly higher in the COPD group (P<0. 01) and the scores of the questionnaires were negative correlated with FEV1/FVC. With a cut-off value of 17 points, the sensitivity, specifici-ty, mis-diagnostic rate, omission diagnostic rate, Youden′s index,positive likelihood ratio, and negative likelihood ratio were 97. 3%, 71. 3%, 28. 7%, 2. 7%, 73. 3%, 0. 69, 3. 39 and 0. 04 respectively. The area under the ROC curve was 0. 919 and the optimal cut-off point value was 19. 5. The overall prevalence rate was 7. 6% and it increased with age. The prevalence rate of male was higher than female ( P<0. 01 ) and the risk factors were gender, age, smoking, BMI and education level. Conclusion The screening questionnaires can help preliminary screen COPD patients, and the early diagnostic rate can be improved while combined with pulmonary function test.
