大丰市呼吸系疾病死亡状况分析

An analysis of death status of respiratory diseases in Dafeng

目的了解我市呼吸系疾病的流行趋势，探讨防治对策。方法对１９７６～１９９５年全市２０年的呼吸系疾病死亡情况进行分析，并对１９９３～１９９５年呼吸系疾病的发病危险因素进行个案调查。结果全市２０年的呼吸系疾病的死亡共２２１４７例，以慢性阻塞性肺病（ＣＯＰＤ）为主，达１９２０９例，占总死亡数的８６．７％，其次是肺炎死亡数为１９７８例，占总死亡数的８．９３％，再其次为其他呼吸系疾病，为９６０例，占６．６３％。对３５４３例进行致病危险因素的个案调查，发现吸烟有１３６０例，占３８．３９％，儿童期呼吸道反复感染为９４１例，占２６．５６％，遗传因素２２７例，占６．４１％。结论吸烟、儿童期感染与ＣＯＰＤ的发生有关。

Objective To know the epidemic tendency of respiratory diseases, and explore methods of prevention. Methods Deaths of despiratory diseases in Dafeng during 19761995 were analyzed and the risk factors of respiratory diseases during 19931995 were investigated. Results There were 22147 cases of death of respiratory diseases in 20 years. Chronic obstructive pulmonary diseases (COPD) accounted for 86.7% (19209 cases) of total deaths of respiratory diseases. The second was pheumonitis for 8.93% (1978 cases). Other types of respiratory diseases accounted for 6.63% (960 cases). 3543 cases were investigated for the risk factors of diseases. The result showed that 1360 cases (38.39%) were related to smoking, 941 cases (26.56%) were related to respiratory infection occurred during their childhood, and 227 cases were related to genetic factors. Conclusion COPD appeared to be related to smoking, childhood infection while genetic factors could not be excluded