Kama E K
Z Erkr Atmungsorgane. 1977 Feb;147(2):147-50.
Report on chronic nonspecific lung diseases (CNLD) in the Estonian SSR basing on the data of the ministry of health. The statistical incidence of chronic nonspecific lung diseases has increased from 59.7 new cases per 10 000 inhabitants (1967) to 93.7 in 1974 (100.2 in males and 88.1 in females). This increase is resulting from a real increase of new cases but also from the improvement of diagnostics and better coverage in the degree as tuberculosis has diminished. Cases of tuberculosis among adults decreased to 1/8 and among children to 1/100 of that 20 years ago. Among CNLD the portion of chronic bronchitis amounted to 48%, of chronic bronchitis to 35.9% and bronchial asthma to 16.1%. CNLD is rather frequent among children. In persons older than 40 years CNLD becomes more common, more in males than in females. Not all persons notified with the diagnosis chronic lung disease need treatment. In epidemiological surveys 5.5 to 9.3% of the population corresponded to the definition of chronic airway disease. A systematic dispensary care of CNLD is going to be organised since 1969. It is the task of all therapeutists in the medical districts. More and more the tuberculosis clinics are integrated into this system.
基于爱沙尼亚苏维埃社会主义共和国卫生部的数据,关于慢性非特异性肺部疾病(CNLD)的报告。慢性非特异性肺部疾病的统计发病率已从每10000名居民59.7例新发病例(1967年)增至1974年的93.7例(男性为100.2例,女性为88.1例)。这种增长不仅源于新发病例的实际增加,还源于诊断水平的提高以及随着结核病发病率下降而在覆盖范围上的改善。成人结核病病例降至20年前的1/8,儿童降至1/100。在慢性非特异性肺部疾病中,慢性支气管炎占48%,肺气肿占35.9%,支气管哮喘占16.1%。慢性非特异性肺部疾病在儿童中相当常见。在40岁以上人群中,慢性非特异性肺部疾病更为普遍,男性比女性更常见。并非所有被诊断为慢性肺部疾病的人都需要治疗。在流行病学调查中,5.5%至9.3%的人口符合慢性气道疾病的定义。自1969年起将组织对慢性非特异性肺部疾病进行系统的门诊治疗。这是医疗区所有治疗师的任务。越来越多的结核病诊所被纳入这个系统。