Han Rui, Zou Jihua, Shen Xia, Wu Chongwen, Guo Yanping, Feng Ziwei, Gao Jingquan, Wang Yuefeng, Jia Honghong, Ye Qingfang, Wang Liping, Yang Yongshan
Department of Nursing, Haerbin Medical University (Daqing), Daqing 163319, China.
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Zhonghua Jie He He Hu Xi Za Zhi. 2015 Feb;38(2):93-8.
To study the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in Heilongjiang province.
This was a population-based and cross-sectional survey on prevalence of COPD in Heilongjiang province from September 2013 to March 2014. The stratified-cluster-random sampling method was performed to collect the data from 4 478 people in 5 cities (Jixi, Daqing, Suihua, Yichun and Jiagedaqi). The subjects were interviewed with questionnaires and tested with spirometry. A post-bronchodilator FEV1/FVC<70% was defined as diagnostic of COPD.
Completed and qualified data were obtained from 4 059 participants. The average prevalence of COPD was 7.3% (urban 6.0%; rural 8.8%; men 8.6%; women 6.5%). When using SPSS18.0 for the single factors logistic regression analysis, results indicated that sex (OR = 0.700, 95%CI:0.540-0.907), age ≥ 50 (OR = 1.236, 95%CI:0.758-2.017), lower education level (OR = 1.551, 95%CI:0.929-2.590), biomass for cooking (compared with electricity, OR = 2.744, 95%CI:1.429-5.271), biomass (compared with centralized heat supply, OR = 1.229, 95%CI:0.120-12.546)and coal (compared with centralized heat supply, OR = 4.661, 95%CI:0.474-45.840) for heating, respiratory diseases (OR = 3.594, 95%CI:2.738-4.716), combined with cardiovascular disease (OR = 1.370, 95%CI:1.058-1.776) were the risk factors of COPD in Heilongjiang province.
Higher risk for COPD was related with sex, age, education level, cooking fuel, heating methods, respiratory diseases and combined with cardiovascular disease.
研究黑龙江省慢性阻塞性肺疾病（COPD）的患病率及危险因素。
这是一项基于人群的横断面调查，于2013年9月至2014年3月对黑龙江省COPD患病率进行调查。采用分层整群随机抽样方法，收集了来自5个城市（鸡西、大庆、绥化、伊春和加格达奇）的4478人的数据。对受试者进行问卷调查并进行肺功能测定。支气管扩张剂后FEV1/FVC<70%被定义为COPD诊断标准。
从4059名参与者中获得了完整且合格的数据。COPD的平均患病率为7.3%（城市6.0%；农村8.8%；男性8.6%；女性6.5%）。使用SPSS18.0进行单因素logistic回归分析，结果表明性别（OR = 0.700，95%CI：0.540 - 0.907）、年龄≥50岁（OR = 1.236，95%CI：0.758 - 2.017）、教育水平较低（OR = 1.551，95%CI：0.929 - 2.590）、使用生物质做饭（与用电相比，OR = 2.744，95%CI：1.429 - 5.271）、使用生物质取暖（与集中供热相比，OR = 1.229，95%CI：0.120 - 12.546）以及使用煤炭取暖（与集中供热相比，OR = 4.661，95%CI：0.474 - 45.840）、呼吸系统疾病（OR = 3.594，95%CI：2.738 - 4.716）、合并心血管疾病（OR = 1.370，95%CI：1.058 - 1.776）是黑龙江省COPD的危险因素。
COPD的较高风险与性别、年龄、教育水平、烹饪燃料、取暖方式、呼吸系统疾病以及合并心血管疾病有关。
