Analysis of influencing factors of chronic obstructive pulmonary disease in permanent residents in some area of Tianjin
Objective To analyze the pulmonary ventilation function and influencing factors in residents in some area of Tianjin and provide a basis for the precise prevention and control of chronic obstructive pulmonary disease(COPD)in Tianjin.Methods A total of 5693 permanent residents aged 35 years and above in Heping District,Jinnan District and Baodi District of Tianjin were randomly selected from June to December 2022.The basic information,smoking history,treatment and China COPD Screening Questionnaire(COPD-SQ)were collected.According to the COPD-SQ result,the subjects were divided into the COPD low-risk group(COPD-SQ score＜16 points,4 648 cases)and the COPD high-risk group(COPD-SQ score＞16 points,1 045 cases).The physical examination and the pulmonary ventilation function testing were completed.Multivariate Logistic regression was used to analyze independent risk factors for COPD disease.Results The included subjects with the body quality index 25.1(23.0,27.6)kg/m2 were 56(48,64)years old,including 2 393(42.0%)men,1 381(24.3%)smokers and 650(11.4%)proposed COPD.Only 18 patients were received standard treatment,accounting for 2.8%of the patients with suspected COPD.Compared with the COPD low-risk group,the proportion of males and smokers,age,waist-to-hip ratio,blood pressure and proposed COPD were higher in the COPD high-risk group.BMI,peripheral percutaneous oxygen saturation,FVC percentage of predicted value,FEV1 percentage of predicted value,FEV1 percentage of FVC,PEF percentage of predicted value,MMEF percentage of predicted value,and PEF50 percentage of predicted value were lower(all P＜0.05).The proportion of smokers and proposed COPD in Heping District,Jinnan District and Baodi District had statistical significance(P＜0.05).The multivariate Logistic regression analysis showed that independent risk factors of COPD morbidity included gender,smoking and age(P＜0.05).Conclusion The smoking rate of residents aged 35 and above in some area of Tianjin is high.Age,smoking status and gender are associated with the incidence of COPD.
万方数据
维普
