CAJ | 학술논문

目的：评估新疆克州慢性阻塞性肺疾病（COPD）患者的危险因素。方法：通过问卷调查的方式，收集新疆克州县级以上医院318名 COPD 就诊患者的一般资料、生活因素、居住因素、病因、发病诱因、临床症状等信息。运用层次分析的方法建立数学模型。结果：轻度、中度、重度患者在生活因素、居住因素、个人因素、病史等方面都存在着明显的统计学意义（P ＜0．01）。危险因素一级指标权重系数对比可见，个人因素（0．470）和病史因素（0．280）的权重系数最高，其次生活因素（0．136）和居住因素（0．114）。二级指标之中，个人因素方面，抽烟程度（0．231）﹥职业粉尘接触度（0．475）﹥肥胖程度（0．225）﹥经济状况（0．069）；生活因素方面，燃料清洁度（0．349）﹥厨房通风设施﹥（0．294）﹥取暖清洁度（0．266）﹥饮食烹饪清洁度﹥（0．091）；居住因素方面，住房空气质量（0．348）＝住房周边环境（0．348）﹥住房通风度（0．207）﹥住房采光度（0．097）；病史因素方面，合并疾病程度（0．459）﹥既往史患病程度（0．325）﹥季节性发病程度﹥（0．149）﹥家族史患病程度（0．067）。结论：减少抽烟和职业粉尘接触，改善生活环境，提高生活质量，将有助于缓解 COPD 的发病。
목적：평고신강극주만성조새성폐질병（COPD）환자적위험인소。방법：통과문권조사적방식，수집신강극주현급이상의원318명 COPD 취진환자적일반자료、생활인소、거주인소、병인、발병유인、림상증상등신식。운용층차분석적방법건립수학모형。결과：경도、중도、중도환자재생활인소、거주인소、개인인소、병사등방면도존재착명현적통계학의의（P ＜0．01）。위험인소일급지표권중계수대비가견，개인인소（0．470）화병사인소（0．280）적권중계수최고，기차생활인소（0．136）화거주인소（0．114）。이급지표지중，개인인소방면，추연정도（0．231）﹥직업분진접촉도（0．475）﹥비반정도（0．225）﹥경제상황（0．069）；생활인소방면，연료청길도（0．349）﹥주방통풍설시﹥（0．294）﹥취난청길도（0．266）﹥음식팽임청길도﹥（0．091）；거주인소방면，주방공기질량（0．348）＝주방주변배경（0．348）﹥주방통풍도（0．207）﹥주방채광도（0．097）；병사인소방면，합병질병정도（0．459）﹥기왕사환병정도（0．325）﹥계절성발병정도﹥（0．149）﹥가족사환병정도（0．067）。결론：감소추연화직업분진접촉，개선생활배경，제고생활질량，장유조우완해 COPD 적발병。
Objective:To evaluate the risk factors that effect patients with chronic obstructive pulmonary disease (COPD)in Kizil-su Kirghiz Autonomous Prefecture of Xinjiang province,applying Analytic Hierarchy Process (AHP).Methods:The information of 31 8 patients with COPD from the hospitals of Kizilsu Kirghiz Autonomous Prefecture of Xinjiang province were collected by ques-tionnaire survey,including the normal information,daily life factor,living environment factor,causes of disease,triggers and clin-ical symptoms.The math model was established by applying AHP method.Results:There were significant differences in factors of daily life pattern,living environment,personal differences,and disease history among the mild,moderate,severe patients (P <0.01 ).From the comparison of the first grade assessment indicator of the risk factor weight coefficient,the highest weight coeffi-cient were personal factor (0.470)and factor of disease history (0.280),and factor of daily life (0.1 36)and factor of living en-vironment (0.1 1 4)followed.In the second grade assessment indicator of the risk factors showed as follows:personal factors:the degree of smoking (0.231 ) > occupational dust exposure (0.475) > the degree of fatness (0.225) > economic situation (0.069);factors referring to daily life:the fuel cleanliness (0.349) > the kitchen ventilation (0.294) > the cleanliness of heating (0.266) >the cleanliness of food cooking (0.091 );factors related to living environment:the living air quality (0.348)=the living surroundings (0.348) >the living ventilation rate (0.207) >degree of house lighting (0.097);factors referring to family history disease:the consolidation degree of disease (0.459) >the past medical history (0.325) >the degree of sea-sonal onset (0.1 49) >the degree of family history disease (0.067).Conclusion:It can decrease the onset of COPD by reduc-ing smoking and occupational dust exposure and increasing the life environment as well as life quality.