您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (3): 79-82.doi: 10.6040/j.issn.1671-7554.0.2016.813

• 临床医学 • 上一篇    下一篇

济南市慢性阻塞性肺部疾病患者在流感季呼吸系统疾病的罹患特征

于晓琳1,2,张军2,杨柳2,周林2,崔亮亮2,张济2   

  1. 1.山东大学公共卫生学院流行病学系, 山东 济南 250012;2.济南市疾病预防控制中心, 山东 济南 250021
  • 收稿日期:2016-07-10 出版日期:2017-03-10 发布日期:2017-03-10
  • 通讯作者: 张济. E-mail:zhangji1967@163.com E-mail:zhangji1967@163.com

Epidemiological characteristics of COPD patients attacked by respiratory system diseases during the flu season in Jinan City

YU Xiaolin1,2, ZHANG Jun2, YANG Liu2, ZHOU Lin2, CUI Liangliang2, ZHANG Ji2   

  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Jinan Manicipal Center for Disease Control and Prevention, Jinan 250021, Shandong, China
  • Received:2016-07-10 Online:2017-03-10 Published:2017-03-10

摘要: 目的 了解慢性阻塞性肺疾病(COPD)患者在流感季期间罹患呼吸系统疾病的流行特征,为COPD患者的健康干预与管理提供依据。 方法 采用现况研究设计,选择济南市市中区、槐荫区、天桥区6家二级及以上综合性医院2013年1月1日至2013年10月31日期间新诊断的≥40岁的948例当地COPD患者为研究对象。采用自行设计的调查问卷,搜集调查对象在2013年11月1日至2014年3月31日流感季期间呼吸系统疾病的发病信息,描述性分析调查对象的发病特征。 结果 流感季期间,COPD患者呼吸系统疾病总罹患率为47.47%(450/948),罹患疾病居前3位的是支气管炎(45.58%)、上呼吸道感染(22.33%)和流感(10.35%),出现2次及以上发病的比例占24.58%(233/948),COPD患者呼吸系统疾病发病时间高峰在12月。 结论 COPD患者在流感季期间呼吸系统疾病高发,应做好COPD患者流感季期间的疾病预防。

关键词: 流行特征, 流感季, 呼吸系统疾病, 慢性阻塞性肺疾病

Abstract: Objective To investigate the epidemiological characteristics of COPD patients attacked by respiratory system diseases in Jinan City during flu season and provide a reference for the health intervention and management. Methods According to cross-sectional study design, 948 COPD patients( ≥ 40 years)were selected and diagnosed by general hospitals which are at least Rank Two in Shizhong District, Huaiyin District and Tianqiao District during January 1 to October 31, 2013, as research objects. Self-designed questionnaire was used to investigate the incidence of respiratory system diseases in COPD patients during November 1, 2013 to March 31, 2014. The characteristics on incidences of research objects were descriptively analyzed. Results During the influenza season, a total of 450 in 948 COPD patients suffered from respiratory system disease, and the attack rate was 47.47%(450/948). The top three diseases were bronchitis(45.58%), upper respiratory tract infection(22.33%)and influenza(10.35%). Twice or more times of incidences accounted for 24.58%(233/948). The peak incidence of respiratory disease in COPD patients appeared in December. Conclusion The attack rate of COPD patients suffering respiratory disease during the influenza season was high. COPD patients should be well treated to prevent disease during flu season.

Key words: Chronic obstructive pulmonary disease, Epidemiological characteristics, Respiratory system disease, Flu season

中图分类号: 

  • R183.3
[1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,46(1):8-17.
[2] Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease: GOLD executive summary[J]. Am J Respir Crit Care Med, 2007, 176(6): 532-555.
[3] Lopez AD, Shibuya K, Rao C, et al.Chronic obstructive pulmonary disease:current burden and future projections[J]. Eur Respir J, 2006, 27(2): 397-412.
[4] Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey[J]. Am J Respir Crit Care Med, 2007, 176(8): 753-760.
[5] World Health Organization. Vaccines against influenza WHO position paper-November 2012[J]. Wkly Epidemiol Rec, 2012, 87(47): 461-476.
[6] Glezen WP, Greenberg SB, Atmar RL, et al. Impact of respiratory virus infections on persons with chronic underlying conditions[J]. JAMA, 2000, 283(4): 499-505.
[7] 兰丰铃, 王胜锋, 曹卫华, 等. 慢性阻塞性肺疾病危险因素流行病学研究新进展[J]. 中华疾病控制杂志, 2014, 18(10): 998-1002. LAN Fengling, WANG Shengfeng, CAO Weihua, et al. A review of the risk factors of epidemiology of chronic obstructive pulmonary disease[J]. Chinese Journal of Disease Control & Prevention, 2014, 18(10): 998-1002.
[8] Yu H, Alonso WJ, Feng L, et al. Characterization of regional influenza seasonality patterns in China and implications for vaccination strategies: spatio-temporal modeling of surveillance data[J]. PLoS Med, 2013 10(11): e1001552. doi: 10.1371/journal.pmed.1001552.
[9] Wu X, Chen D, Gu X, et al. Prevalence and risk of viral infection in patients with acute exacerbation of chronic obstructive pulmonary disease: a meta-analysis[J]. Mol Biol Rep, 2014, 41(7): 1-9.
[10] Seemungal T, Harper-Owen R, Bhowmik A, et al. Respiratory viruses, symptoms, and inflammatory markers in acute exacerbations and stable chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med, 2001, 164(9): 1618-1623.
[11] Serres GD, Lampron N, Forge JL, et al. Importance of viral and bacterial infections in chronic obstructive pulmonary disease exacerbations[J]. J Clin Virol, 2009, 46(2): 129-133.
[12] Wongsurakiat P, Maranetra KN, Wasi C, et al. Acute respiratory illness in patients with COPD and the effectiveness of influenza vaccination: a randomized controlled study[J]. Chest, 2004, 125(6): 2011-2020.
[13] Baek SH, Shimode S, Kim HC, et al. Influenza but not pneumococcal vaccination protects against all-cause mortality in patients with COPD[J]. Thorax, 2009, 64(7): 567-572.
[1] 陆晨琳,许露,杨俊发,潘华琴,倪清涛. 基于动态列线图及机器学习的慢性阻塞性肺疾病急性加重期伴发肺性脑病风险预测模型构建及验证[J]. 山东大学学报 (医学版), 2026, 64(3): 108-115.
[2] 丁小满,吕燕,孙嘉文,赵宝添,亓娜,焦海涛. 2019年3月至2024年2月济南市儿童流感样病例中人鼻病毒流行及基因进化特征[J]. 山东大学学报 (医学版), 2025, 63(7): 102-108.
[3] 肖长春,余林玲,鄢德瑞,朱昱. 合肥市空气O3对儿童呼吸系统疾病急诊就诊量的影响[J]. 山东大学学报 (医学版), 2025, 63(2): 95-103.
[4] 申永春,文富强. 线粒体损伤相关分子模式作为慢性阻塞性肺疾病生物标志物的研究进展[J]. 山东大学学报 (医学版), 2024, 62(5): 16-20.
[5] 丁小满,刘慧,亓娜,王昕,武伟华,孙颖,吕燕,赵怀龙,赵红,赵宝添,焦海涛,房师松,刘岚铮. 2016年4月—2022年3月深圳市和济南市流感病原学监测及流行特征[J]. 山东大学学报 (医学版), 2023, 61(5): 96-101.
[6] 郑良,孙明浩,石圆,于胜男,王志强,李秀君. 2011—2019年山东省肾综合征出血热时空分布及影响因素[J]. 山东大学学报 (医学版), 2023, 61(11): 104-110.
[7] 程传龙,杨淑霞,佘凯丽,房启迪,韩闯,刘盈,崔峰,李秀君. 淄博市2018年恶性肿瘤的流行特征及影响因素[J]. 山东大学学报 (医学版), 2022, 60(2): 102-108.
[8] 常彩云,于秋燕,赵小冬,王芳,李伟,阮师漫,耿兴义. 济南市首例新型冠状病毒肺炎病例及其相关家庭聚集性疫情分析[J]. 山东大学学报 (医学版), 2020, 58(4): 7-11.
[9] 杨柳,李战,许华茹,常彩云,刘仲,李传彬,孙湛,景睿,刘铁诚,耿兴义,周敬文. 济南市10例儿童新型冠状病毒肺炎确诊病例流行病学和临床特征[J]. 山东大学学报 (医学版), 2020, 58(4): 36-39.
[10] 刘廷轩,齐畅,佘凯丽,贾艳,朱雨辰,李春雨,刘利利,王旭,章志华,李秀君. 河北省新型冠状病毒肺炎流行特征与时空聚集性分析[J]. 山东大学学报 (医学版), 2020, 58(10): 74-81.
[11] 张宁,杨燕,李锐,殷运红,李昊,曲仪庆. 慢阻肺患者感染鲍曼不动杆菌危险因素及耐药性分析[J]. 山东大学学报 (医学版), 2019, 57(9): 88-96.
[12] 关恒云,王春荣,刘岚铮,杨国樑,赵怀龙,孙洁,成洪旗. 济南市2012~2017年手足口病肠道病毒谱变化及流行特征[J]. 山东大学学报 (医学版), 2019, 57(11): 90-97.
[13] 李佳蔚,魏然,张安然,胡文琦,林君芬,马伟. 热带气旋与医院门诊呼吸系统疾病日就诊量的病例交叉研究[J]. 山东大学学报 (医学版), 2018, 56(8): 43-49.
[14] 李京,王创新,胥欣,杨军,王春平,薛付忠,刘起勇. 气温对2007~2013年济南市人群慢性非传染性疾病死亡的归因风险研究[J]. 山东大学学报 (医学版), 2018, 56(8): 76-87.
[15] 魏然,张安然,李佳蔚,胡文琦,薛莉,林君芬,马伟. 夏季日温差与医院门诊呼吸系统疾病就诊量的关系[J]. 山东大学学报 (医学版), 2018, 56(8): 107-113.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!