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目的分析昆明市石林县慢性阻塞性肺病(COPD)的疾病负担。方法根据2004年石林县全死因死亡登记报告,并调查该地区≥45岁居民,以残疾调整生命年(DALY)作为COPD疾病负担的测量指标。结果石林县农村居民COPD患病率为6.68%,男性COPD的患病率高于女性(P<0.001)。女性COPD的YLL值和DALY值高于男性;男性COPD的YLD值高于女性。60岁以上组人群COPD的YLL值、YLD值和DALY值均高于60岁以下组,差别均有统计学意义(P<0.05)。结论COPD对该地男性的生活质量影响较大,而对女性死亡的危害较大。应加大该地COPD的预防和治疗工作。
Objective To analyze the disease burden of chronic obstructive pulmonary disease (COPD) in Shilin County, Kunming. Methods According to the report of all-cause death registration in Shilin County in 2004, residents aged ≥ 45 years in this area were surveyed, and the disability-adjusted life year (DALY) was used as the measurement index of COPD disease burden. Results The prevalence of COPD in rural residents in Shilin County was 6.68%. The prevalence of COPD in male was higher than that in women (P <0.001). YLL and DALY were higher in women with COPD than in men; YLD was higher in women with COPD than in women. The COPD YLL value, YLD value and DALY value in COPD group over 60 years old were higher than those under 60 years old, the difference was statistically significant (P <0.05). Conclusion COPD has a great impact on the quality of life of men in the area, but harms the death of women. Should be increased in the prevention and treatment of COPD.