社区老年人慢性阻塞性肺疾病筛查阳性率及相关因素分析

Analysis of Positive Rate of COPD Screening and Related Factors in the Elderly in Community

目的:分析上海市嘉定区马陆镇社区老年人慢性阻塞性肺疾病(慢阻肺)筛查阳性相关影响因素。方法:根据老年人健康体检表及慢阻肺早筛调查问卷,对马陆镇社区60岁及以上常住居民基本情况、辅助检查和慢阻肺早筛问卷调查进行单因素和多因素分析。结果:性别、锻炼频率、甘油三酯等情况不同的老年人,其慢阻肺筛查阳性率更高。进一步多因素分析发现,男性、腹型肥胖、每天饮酒和甘油三酯正常的老年人,其慢阻肺筛查阳性发生率更高。结论:基层医院可重点从加强体育锻炼、控烟、控酒和控制体重方面进行宣教,并加强对社区男性老年人的宣教;在慢阻肺筛查方面,除了早筛问卷外,还需兼顾其他危险因素进行综合评判。

OBJECTIVE To analyze the factors related to the positive COPD screening of the elderly in the Malu Town of Jiading District of Shanghai.METHODS Based on the health examination form of the elderly and the COPD early screening questionnaire,the basic information,auxiliary examination and COPD early screening questionnaire of permanent residents aged 60 and above in Malu Town were analyzed by univariate and multivariate analysis.RESULTS A The positive rate of COPD screening was higher in the elderly with different gender,exercise frequency and triglyceride.Further multivariate analysis found that males,abdominal obesi⁃ty,daily alcohol consumption,and normal triglycerides were associated with a higher incidence of positive COPD screening.CON⁃CLUSION Primary hospitals could focus on strengthening physical exercise,tobacco control,alcohol control and weight control,and strengthen the propaganda and education for the elderly male community.In terms of COPD screening,in addition to early screening questionnaire,other risk factors should also be considered for comprehensive evaluation.