生活环境与女性COPD患者发病关系的调查研究

The study of the relationship between COPD incidence and living environment in rural women of Tangshan

目的了解唐山农村女性生活环境与COPD发病的关系。方法于唐山市10个县区农村随机抽取40岁以上女性常驻人口1948人进行入户调查进行入户调查,记录入选的研究对象居室环境灰尘情况(按灰尘多、少进行分组)、室内通风情况(按好、中、差进行分组)及使用生活燃料等情况,并进行肺功能检查,研究生活环境与唐山农村女性COPD患者发病关系。结果室内灰尘多、通风差及使用煤+生物燃料、生物燃料和煤的女性COPD患病率明显高于室内灰尘少、通风好及使用液化气和电的女性COPD患病率的女性,差异有统计学意义(P<0.05)。结论室内环境及生活燃料使用习惯与农村女性COPD发病密切关系。

Objective To study the relationship between COPD incidence and living environment in rural women of Tangshan. Methods 1948 rural women （over the age of 40） were randomly selected from 10 counties of Tangshan City, and all of them received pulmonary function tests and the survey, including the dust condition of room environment, indoor ventilation, and the kind of domestic fuel. Results The incidence of COPD was significantly higher in those families with high-level indoor dust, poor ventilation and the use of coal and biofuels than in those with low-level indoor dust, good ventilation and the use of liquefied gas and electricity （ P 〈 0.05 ）. Conclusion The indoor environment and the usage of domestic fuel are related with COPD incidence in rural women.