Risk factors and intervention for chronic obstructive pulmonary disease in China

Risk factors and intervention for chronic obstructive pulmonary disease in China
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DOI:
10.1111/resp.12190
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发表时间:
2013-11
期刊:
影响因子:
6.9
通讯作者:
Yumin Zhou;Rongchang Chen
Yumin Zhou;Rongchang Chen
中科院分区:
医学2区
文献类型:
--
作者:
Yumin Zhou;Rongchang Chen

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在中国,慢性阻塞性肺疾病(COPD)是最常见的慢性病之一,在40岁以上人群中的患病率为8.2%。2006年,它是中国第三大常见死因,占所有死亡人数的17.6%。尽管全球范围内吸烟是COPD最常见的风险因素,但在中国,其他重要风险因素包括环境烟草烟雾、生物质烟雾和肺后结核。基于缓解这些风险因素的干预措施在中国预防COPD的策略中具有特别重要的作用。事实上,初步研究结果表明,在中国,基于最大限度地减少这些风险因素的早期干预可能是预防COPD的一种具有成本效益的方法。未来的研究应集中在大规模,随机和对照的前瞻性研究,以解决在中国最大限度地减少这些重要的危险因素的有效性,可行性和卫生经济学。
In China, chronic obstructive pulmonary disease (COPD) is one of the most common chronic diseases with a prevalence of 8.2% in the population over 40 years of age. In 2006, it was the third most common cause of death in China accounting for 17.6% of all deaths. Although worldwide smoking is the most common risk factor for COPD, in China, additional important risk factors include environmental tobacco smoke, biomass smoke and post‐pulmonary tuberculosis. Interventions based on mitigating these risk factors have a particularly important role in strategies aimed at preventing COPD in China. Indeed, preliminary research findings have shown that early intervention based on minimizing these risk factors might be a cost‐effective way to prevent COPD in China. Future research should focus on large scale, randomized and controlled prospective studies to address the efficacy, feasibility and health economics of minimizing these important risk factors in China.