邢台城乡慢性阻塞性肺疾病的患病状况及相关因素分析

The Chronic Obstructive Pulmonary Disease in Xingtai City

目的调查邢台城乡慢性阻塞性肺疾病(COPD)的患病状况和相关因素,为该地区慢性阻塞性肺疾病COPD防治提供科学依据。方法采用多阶段抽样方法进行现况调查,包括问卷调查、体格检查及肺通气功能检查;用单因素和多因素分析COPD的相关因素。结果共完成调查5 862人,城市2 822人,农村3 040人;COPD患病率11.79%;随着年龄的增长COPD的患病率增加(OR=1.358),吸烟(OR=3.452)、儿童期有呼吸道感染史(OR=1.941)、有COPD家族史(OR=2.394)及煤炉取暖(OR=4.031)的人群COPD的患病率升高。结论邢台城乡慢性阻塞性肺疾病COPD患病率较高,尚需重视老年人COPD的防治工作,加强儿童呼吸道感染的预防,控制吸烟,科学规划取暖设施,推进该地COPD的防控。

Objective To investigate the disease status and relevant factors of chronic obstructive pulmonary disease （COPD） in Xingtai and provide scientific evidence for COPD prevention and control. Methods Based on the multistage sampling method, the data of questionnaire, physical examination and pulmonary ventilation function testing was collected to apply the single and multiple factors analysis for exploring the relevant factors of COPD. Results There were 5 862 people were investigated, which 2 822 people in urban areas and 3 040 people in rural areas. Prevalence of COPD was 11. 79% , which increased with growth of the age （ OR = 1. 358）, smoking behavior （OR = 3. 452 ）, history of respiratory tract infection in childhood （OR = 1. 941 ）.family history of COPD （ OR = 2. 394 ） and coal stove heating （ OR =4. 031 ）. Conclusion Prevalence of COPD is at the high level in Xingtai city. It should pay attention on the prevention and treatment of COPD in the elderly, to strengthen the prevention of children respiratory tract infection, smoking control and scientific heating facilities for COPD prevention and control .