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中国初级卫生保健:2020,34(11):21-24
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农村基层慢性阻塞性肺疾病的筛查方法及患病特点分析
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中文摘要: 摘 要 目的 通过对农村基层慢性阻塞性肺疾病(COPD)筛查和患者特点分析,了解农村基层COPD的患病特点,为探索早期干预措施提供基础依据。方法 结合农民体检工作,选取2017年3—9月浦江县岩头镇1 580例年龄40~79岁患有慢性咳嗽、咯痰或呼吸困难症状的人群为高危对象,通过简易肺功能仪测定FEV1/FVC和FEV1%预计值,筛选出COPD患者,测定患者的呼吸频率和氧饱和度指标,并对患者进行6 min步行距离试验、生活质量评分和焦虑评分问卷调查,并对结果进行统计分析。结果 本研究共筛选出COPD患者200例,占高危对象的12.66%,男性组患病率显著高于女性组,发病年龄以60岁以上为主。部分患者筛选时发现伴有COPD并发症;大部分患者存在COPD危险因素接触史,特别是吸烟人群发病率更高;COPD患者呼吸频率普遍偏快,氧饱和度和运动耐力有下降趋势;生活质存在一定下降,部分存在焦虑情况。结论 简易肺功能仪应用于筛查农村基层COPD患者适宜可行。农村基层COPD患病特点提示:患者对COPD认识不足,缺乏重视,进一步探索早期干预措施具有重要意义。
Abstract:Abstract OBJECTIVE To understand the characteristics of chronic obstructive pulmonary disease(COPD) in rural grassroots through screening and analyzing the characteristics of patients, so as to provide the basis for exploring early intervention measures. METHODS Combined with farmers physical examination work, it selected 580 cases of aged 40 ~ 79 with chronic cough, sputum, or breathing difficulties crowd in high-risk object in Yantou Town, Pujiang County from March 2017 to September 2017. Through simple lung function instrument, it measured the expected values of FEV1/FVC and FEV1% so as to select patients with COPD and measure the respiratory frequency and oxygen saturation index of patients, 6 min walking distance test, the quality of life scores and anxiety score questionnaire survey are conducted on the patients, and the results were analyzed. RESULTS 200 COPD patients are screened out, accounting for 12.66% of the high-risk objects. The prevalence rate of male group is significantly higher than that of female group, and the onset age is mainly over 60 years old. Some patients were found to have complications associated with COPD when screening. Most patients had a history of COPD risk factors, especially those with smoking. The incidence rate of COPD was generally faster, the oxygen saturation and exercise endurance tended to decline, and the quality of life was decreased, and some of them were anxious. CONCLUSION Simple pulmonary function instrument was suitable and feasible for screening rural basic COPD patients. The characteristics of COPD in rural grassroots suggested that patients had insufficient understanding of COPD and lack of attention, so it was of great significance to further explore early intervention measures.
文章编号:3202004095     中图分类号:R743.3    文献标志码:
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