社区慢性阻塞性肺疾病患病情况的初步调查

The Preliminary Investigation of Chronic Obstructive Lung Disease in Community

目的：明确社区居民慢性阻塞性肺疾病(COPD)的患病率及其严重程度。方法：采用横断面调查的方法，对上海市某社区40岁 以上居民进行肺功能测定和居民一般情况、COPD 临床症状和危险因素等的调查。结果：共调查624例，COPD 患者65例，患病率为 10． 4%。其中早期患者占72． 3%，有临床症状者占18． 5%。COPD 患者中风的患病率显著高于肺功能正常的居民(12． 3% vs． 2． 7%，P＜0． 05) 。结论：该社区 COPD 患病率较高，以早期患者为主，部分无呼吸道症状的居民中已有不同程度的气流阻塞存在。 社区全科医师应加强居民肺功能的监测。

Objective：To find out the status of chronic obstructive lung disease （COPD） in community. Methods： The lung function of the inhabitants over 40-years old in a certain community were tested and their general information, clinical symptoms and the risk factors of COPD were investigated in a cross study. Results： 624 people were investigated. The prevalence of COPD was 10. 4%, in which 72. 3% patients were mild and 18. 5% patients had clinical symptoms. COPD patients had a higher prevalence of stroke than the people with normal lung function （12. 3% vs. 2. 7%, P〈0.05）. Conclusion： The prevalence of COPD was high in the community and most of the patients were mild. Part of the habitants without any symptoms of respiratory had airflow limitation with some degrees. The general practitioners should intensify the supervision of the lung function in community.