上海市杨浦区社区居民慢性阻塞性肺疾病流行病学分析

Epidemiologic Analysis of Chronic Obstructive Pulmonary Disease in Community Residents in Yangpu District of Shanghai

目的分析上海市杨浦区社区居民慢性阻塞性肺疾病(COPD)的流行特征,为COPD的社区防治提供依据。方法以整群随机抽样方法,抽取上海市杨浦区2个社区4个居委40岁以上的居民2890人,采用统一调查表,并进行呼吸功能检测,调查他们的COPD流行病学情况。结果杨浦区社区居民的总患病率为4.36%,男性患病率为6.4%,女性为1.6%,两者之间的有显著性差异(P<0.05)。吸烟、家族呼吸疾病史、生活水平差、无肺炎或流感疫苗接种史、BMI指数低是COPD的危险因素。结论积极戒烟、倡导良好健康的生活方式是社区居民COPD干预的重点。

Objective To analyze the epidemiology characteristics of chronic obstructive pulmonary disease(COPD) in community residents in Yangpu District of Shanghai,so as to provide a basis of community COPD prevention.Methods By cluster sampling,2 890 people over 40 years old were selected in two communities of Yangpu District.A uniform questionnaire was adopted to obtain relevant information.Results The overall incidence rate was 4.36%,that for male was 6.4% and that for female was 1.6%.There was a significant difference between male and female(P<0.05).The risk factors involved smoking,family respiration disease history,poor living standard,no inoculation of pneumonia or flu bacterin,and low index of BMI,etc.Conclusion We should focus COPD prevention work on smoking-quitting and healthy-living-style-advocating among the residents in communities.