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预防医学  2023, Vol. 35 Issue (3): 246-249    DOI: 10.19485/j.cnki.issn2096-5087.2023.03.014
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
杭州市老年人群肺功能状况调查
龚科米1, 廖辉2, 陈树昶3, 刘卫艳3, 徐珊珊3, 吕烨3, 伍丽2, 徐虹3
1浙江树人学院生物与环境工程学院,浙江 杭州 310015;
2.浙江中医药大学,浙江 杭州 310053;
3.杭州市疾病预防控制中心,浙江 杭州 310021
Assessment of pulmonary functions among the elderly in Hangzhou City
GONG Kemi1, LIAO Hui2, CHEN Shuchang3, LIU Weiyan3, XU Shanshan3, LÜ Ye3, WU Li2, XU Hong3
1. School of Biological and Environmental Engineering, Zhejiang Shuren University, Hangzhou, Zhejiang 310015, China;
2. Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China;
3. Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China
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摘要 目的 了解杭州市老年人群肺功能状况,为老年人群呼吸系统疾病防治工作提供依据。方法 于2020年11—12月,选择杭州市60~75岁常住居民为调查对象。采用便携式肺功能仪测定肺功能水平,包括大气道[用力呼气量(FVC)、第一秒用力呼气量(FEV1)和FEV1占FVC的百分比(FEV1/FVC)]和小气道功能指标[25%肺活量时的最大呼气流速(MEF25%)、75%肺活量时的最大呼气流速(MEF75%)和25%~75%肺活量时的用力呼气流量(FEF25%~75%)],分析不同性别、年龄和体质指数(BMI)老年人的肺功能状况。结果 调查314人,其中男性126人,占40.13%;年龄为(68.49±4.47)岁;BMI为(23.51±2.79)kg/m2。FEV1为(1.97±0.53)L、FVC为(2.51±0.72)L、FEV1/FVC为(79.79±11.47)%,MEF25%为(0.98±0.53)L/s、MEF75%为(3.84±1.65)L/s、FEF25%~75%为(1.99±0.91)L/s。男性FEV1、FVC、MEF75%和FEF25%~75%分别为(2.22±0.55)L、(2.92±0.75)L、(4.19±1.82)L/s和(2.14±1.07)L/s,高于女性的(1.79±0.43)L、(2.24±0.55)L、(3.59±1.49)L/s和(1.90±0.77)L/s(均P<0.05)。不同年龄组中以70~75岁组FEV1、FVC、MEF25%、MEF75%和FEF25%~75%较低,分别为(1.75±0.46)L、(2.27±0.64)L、(0.88±0.57)L/s、(3.39±1.45)L/s和(1.79±0.96)L/s。大、小气道功能异常均为127例,异常率均为40.45%。结论 杭州市老年人大、小气道功能异常率均为40.45%,女性和高龄老年人肺功能水平较低。
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龚科米
廖辉
陈树昶
刘卫艳
徐珊珊
吕烨
伍丽
徐虹
关键词 肺功能老年人大气道小气道    
AbstractObjective To investigate the pulmonary functions among the elderly in Hangzhou City, so as to provide insights into the management of respiratory diseases among the elderly. Methods Permanent residents at ages of 60 to 75 years were sampled from Hangzhou City from November to December 2020. The pulmonary function was tested using a portable pulmonary function monitor, including large airway function parameters [forced expiratory volume (FVC), forced expiratory volume in a second (FEV1) and FEV1/FVC], and small airway function parameters [maximum expiratory flow rate at 75% vital capacity (MEF75%), the maximum expiratory flow rate at 25% of vital capacity (MEF25%) and the forced expiratory flow rate (FEF25%-75%) at 25% to 75% of vital capacity]. The pulmonary functions were compared among the elderly with different genders, ages and body mass index (BMI). Results Totally 314 participants were recruited, including 126 men (40.13%), with a mean age of (68.49±4.47) years and mean BMI of (23.51±2.79) kg/m2. The mean FEV1, FVC, FEV1/FVC, MEF25%, MEF75% and FEF25%-75% were (1.97±0.53) L, (2.51±0.72) L, (79.79±11.47)%, (0.98±0.53) L/s, (3.84±1.65) L/s and (1.99±0.91) L/s among the participants, respectively. Higher FEV1 [(2.22±0.55) vs. (1.79±0.43) L, P<0.05], FVC [(2.92±0.75) vs. (2.24±0.55) L, P<0.05], MEF75% [(4.19±1.82) vs. (3.59±1.49) L/s, P<0.05] and FEF25%-75% [(2.14±1.07) vs. (1.90±0.77) L/s, P<0.05] were tested among men than among women, and lower FEV1 [(1.75±0.46) L], FVC [(2.27±0.64) L], MEF25% [(0.88±0.57) L/s], MEF75% [(3.39±1.45) L/s] and FEF25%-75% [(1.79±0.96) L/s] were tested among the elderly at ages of 70 to 74 years. The proportion of large and small airway dysfunctions was 40.45% among the participants. Conclusions The proportion of large and small airway dysfunctions was 40.45% among the elderly in Hangzhou City, and poor pulmonary functions were tested among the women and the advanced elderly.
Key wordspulmonary function    elderly    large airway    small airway
收稿日期: 2022-10-27      修回日期: 2023-01-16      出版日期: 2023-03-10
中图分类号:  R443  
基金资助:杭州市卫生科技计划重点项目(ZD20200037)
作者简介: 龚科米,本科在读
通信作者: 徐虹,E-mail:xuhong-123456@hotmail.com   
引用本文:   
龚科米, 廖辉, 陈树昶, 刘卫艳, 徐珊珊, 吕烨, 伍丽, 徐虹. 杭州市老年人群肺功能状况调查[J]. 预防医学, 2023, 35(3): 246-249.
GONG Kemi, LIAO Hui, CHEN Shuchang, LIU Weiyan, XU Shanshan, LÜ Ye, WU Li, XU Hong. Assessment of pulmonary functions among the elderly in Hangzhou City. Preventive Medicine, 2023, 35(3): 246-249.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.03.014      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I3/246
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