老年人慢性阻塞性肺病流行状况调查(1)
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[摘要] 目的 调查城乡老年人慢性阻塞性肺疾病流行状况。方法 选择农村与城区男60岁、女55岁以上的老年人1467名采取现场流行病学调查和肺功能检查，筛选肺功能异常者，并随后进行胸片检查除外其他疾病。结果 城乡老年人慢性阻塞性肺疾病总患病率为16.29%，城区男性患病率高于城区女性，乡村女性患病率高于城区女性；总漏诊率为84.94%，乡村老年人漏诊率高于城区老年人；乡村女性患者生物燃料长期使用率高于城区女性患者。结论 城乡老年人中慢性阻塞性肺病发病率高，漏诊严重，而乡村老年女性更是慢性阻塞性肺病好发人群。
[关键词] 老年人；慢性阻塞性肺病；漏诊；生物燃料；城乡
[中图分类号] R563 [文献标识码] B [文章编号] 1673-9701(2011)35-19-03
Prevalence Survey on Elderly Patients with Chronic Obstructive Pulmonary Disease
WANG Yayan1 LI Bing1 WANG Long2 WENG Lei3 LI Xiaowen4 CHEN Lei5 DING Jie1 YU Kai1 CHEN Zhongbo6 DENG Zaichun6
1.Ningbo Jiangbei Hongtang Community Health Center in Zhejiang Province, Ningbo 315033, China; 2.Ningbo Qianhu Hospital in Zhejiang Province, Ningbo 315121, China; 3.Ningbo No.9 Hospital in Zhejiang Province, Ningbo 315020, China; 4.Ningbo Zhenhai No.2 Hospital in Zhejiang Province, Ningbo 315207, China; 5.Ningbo Beilun Zongrui Hospital in Zhejiang Province, Ningbo 315806, China; 6.The Affiliated Hospital of Ningbo University, Ningbo 315020, China
[Abstract] Objective To investigate the prevalence of urban and rural elderly patients with chronic obstructive pulmonary disease. Methods All of 1467 urban and rural elderly people(male 60 years elderly, female 55 years elderly or elderlyer) were investigated epidemiologically and screened by on-site pulmonary function tests, and subsequent chest X-ray examination was taken for patients with abnormal lung function in order to rule out other diseases. Results The total prevalence rate of chronic obstructive pulmonary disease in urban and rural elderly people was 16.29%, the prevalence rate was higher in urban male than in urban female and was also higher in rural female than in urban female. The overall missed diagnosis rate of chronic obstructive pulmonary disease in urban and rural elderly people was 84.94% and the missed diagnosis rate was higher in rural elderly than in urban elderly. Rural female COPD patients with long-term usage of biofuels were much more than urban female COPD patients with long-term usage of biofuels ......
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