上海农村慢性阻塞性肺病研究综合报告

CURRENT STATUS OF COPD IN RURAL SHANGHAI

1987～1989年,在上海农村社区对7255人分两批进行横断面调查,发现慢性支气管炎患病率为6.04％和1.15％ ,哮喘为0.52％,慢性阻塞性肺功能障碍为7.15％。冬季一个月内平均每人门诊求治0.43次。每次门诊平均医疗费用为23.89元。COPD的主要危险因素包括年龄、性别、吸烟习惯和接触农业粉尘等。针对可干预的危险因素,对患者进行健康教育。经随访研究6个月,发现对健康教育依从的百分率升高。

In 1987-1989, two cross-sectional surveys were conducted among agricultural population in rural Shanghai. It was found that the prevalence rates of chronic bronchitis and chronic obstructive pulmonary malfunction were 6.04% and 7.15%, respectively, among the age group of 18-70. Among the whole rural population, the prevalence rates of chronic bronchitis and asthma were 1.15% and 0.52%, respectively. The COPD sufferers visited the doctors on average of 0.43 times per person within one month (February 1991). The average medical cost for each visit required 23.89 Yuan. The potential risk factors for COPD might be age, sex, smoking, exposure to agricultural dusts, etc. Community comprehensive control measures for COPD cases mainly were health education. After six months of follow-up period, the compliance with health education has shown favorable results.