Analysis of pulmonary function test and medication treatment of patients with chronic obstructive pulmonary disease aged 40 years or older in community of Guangdong Province_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

SONG Xinrui ¹ , LI Zhanglong ¹ , LI Chuan ² , MENG Ruilin ² , XU Yanjun ² , ZHENG Xueyan ² , XIAO Ni ² ,  LI Lixia ¹

1. School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510310, P. R. China;
2. Institute of Non-Communicable Disease Control and Prevention, Guangdong Center for Disease Control and Prevention, Guangzhou, Guangdong, 511430, P. R. China;

Corresponding author：

LI Lixia, Email: llx19@163.com

Keywords：

Chronic obstructive pulmonary disease; Pulmonary function test; Medication treatment; Influencing factors

DOI：

10.7507/1671-6205.202204072

Video：

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Objective To investigate the rate of pulmonary function test, medication treatment, and relevant factors among patients with chronic obstructive pulmonary disease (COPD) aged 40 years or older in community of Guangdong Province, and to provide evidences for targeted intervention of COPD. Methods A multistage stratified cluster sampling was conducted in the community residents, who participated in the COPD surveillance project of in Guangdong Province during 2019 to 2020. A total of 3384 adults completed questionnaire and pulmonary function test. The Rao-Scott χ² test based on complex sampling design, and non-conditional Logistic regression were used to explore possible influencing factors of pulmonary function test and medication treatment in COPD patients. Results Out of the 3384 adults, 288 patients with COPD were confirmed, including 253 males (87.8%) and 35 females (12.2%), and 184 patients (60.4%) were over 60 years old or more. The pulmonary function test rate was 10.7% [95% confidence interval (CI) 6.8% - 14.6%], and medication treatment rate was 10.6% (95%CI 7.0% - 14.1%). The results showed that wheezing, awareness of COPD related knowledge and pulmonary function test were related to whether COPD patients had pulmonary function test (P<0.05). Wheezing and personal history of respiratory diseases were related to medication treatment rate (P<0.05). Conclusions The rates of pulmonary function test and medication treatment among COPD patients aged 40 years or older are low. Health education about COPD should be actively carried out, and the screening of individuals with a history of respiratory diseases and respiratory symptoms should be strengthened so as to reduce the burden of COPD diseases.

Citation： SONG Xinrui, LI Zhanglong, LI Chuan, MENG Ruilin, XU Yanjun, ZHENG Xueyan, XIAO Ni, LI Lixia. Analysis of pulmonary function test and medication treatment of patients with chronic obstructive pulmonary disease aged 40 years or older in community of Guangdong Province. Chinese Journal of Respiratory and Critical Care Medicine, 2022, 21(5): 309-315. doi: 10.7507/1671-6205.202204072 Copy

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21.	吴仲平, 郑劲平, 沈北兰, 等. 广东省肺功能检查应用现状调查与分析. 中国全科医学, 2021, 24(23): 2950-2954.

1. Fang LW, Gao P, Bao HL, et al. Chronic obstructive pulmonary disease in China: a nationwide prevalence study. Lancet Respir Med, 2018, 6(6): 421-430.
2. Wang C, Xu JY, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health study): a national cross-sectional study. Lancet, 2018, 391(10131): 1706-1717.
3. The Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease 2022 Report [EB/OL]. (2021-11-15)[2022-03-22].https://goldcopd.org/2022-gold-reports/.
4. 吕学莉, 丛舒, 樊静, 等. 2014—2015年中国40岁及以上慢性阻塞性肺疾病患者肺功能检查率及其影响因素分析. 中华流行病学杂志, 2020, 41(5): 672-677.
5. 张阳, 王宁, 樊静, 等. 2014—2015年中国40岁及以上慢性阻塞性肺疾病患者药物治疗率及其影响因素分析. 中华流行病学杂志, 2020, 41(5): 678-684.
6. 李婧辰, 张梅, 李镒冲, 等. 我国40岁及以上人群慢性呼吸系统疾病症状流行现况及影响因素研究. 中华流行病学杂志, 2018, 39(6): 786-791.
7. Zheng XY, Li ZL, Li C, et al. Effects of cigarette smoking and biomass fuel on lung function and respiratory symptoms in middle-aged adults and the elderly in Guangdong province, China: a cross-sectional study. Indoor Air, 2020, 30(5): 860-871.
8. Devien L, Giovannelli J, Cuny D, et al. Sources of household air pollution: the association with lung function and respiratory symptoms in middle-aged adult. Environ Res, 2018, 164: 140-148.
9. 王凯棣. 老年慢性阻塞性肺疾病患者CAT评分与BODE指数的相关性研究[D]. 华北理工大学, 2018.
10. 方利文, 包鹤龄, 王宝华, 等. 2014年中国40岁及以上人群肺功能检查率调查与分析. 中华流行病学杂志, 2018, 39(5): 593-599.
11. 丛舒, 冯雅靖, 包鹤龄, 等. 2014年中国40岁及以上人群二手烟暴露状况分析. 中华流行病学杂志, 2018, 39(5): 557-562.
12. 包鹤龄, 丛舒, 王宁, 等. 2014年中国慢性阻塞性肺疾病高危人群现状调查与分析. 中华流行病学杂志, 2018, 39(5): 580-585.
13. 樊静, 王宁, 方利文, 等. 2014年中国40岁及以上人群慢性阻塞性肺疾病知识知晓率及其影响因素. 中华流行病学杂志, 2018, 39(5): 586-592.
14. 李杉, 贾存波, 方方, 等. 我国18地区医疗机构医生慢性阻塞性肺疾病知识认知调查研究. 中国健康教育, 2020, 36(3): 195-199.
15. 陈婧瑜, 钟文玲, 朱瑶, 等. 福建省40岁以上居民肺功能检查抽样调查. 预防医学论坛, 2019, 25(3): 210-212.
16. 查震球, 何玉琢, 徐伟, 等. 安徽省居民慢性阻塞性肺疾病诊断和防控状况分析. 中国公共卫生, 2021, 37(2): 290-292.
17. 邵英, 杨永芳, 秦明芳, 等. 云南省40岁及以上居民肺功能检查率及影响因素分析. 中国慢性病预防与控制, 2019, 27(10): 739-743.
18. 李章龙. 广东省社区COPD患者知识知晓、检查、治疗状况及COPD诊断模型[D]. 广东药科大学, 2021.
19. 国务院办公厅. 中国防治慢性病中长期规划(2017—2025年)[EB/OL]. (2017-01-22)[2021-09-25]. http://www.gov.cn/zhengce/content/2017-02/14/content-516788.
20. 国务院办公厅. 健康中国行动(2019—2030年)[EB/OL]. (2019-07-15)[2022-03-28]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
21. 吴仲平, 郑劲平, 沈北兰, 等. 广东省肺功能检查应用现状调查与分析. 中国全科医学, 2021, 24(23): 2950-2954.

Chinese Journal of Respiratory and Critical Care Medicine

Analysis of pulmonary function test and medication treatment of patients with chronic obstructive pulmonary disease aged 40 years or older in community of Guangdong Province

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