通讯作者: 黄玉蓉, 18999190129@qq.com

DOI：10.12201/bmr.202601.00061

Multidimensional Analysis of Differences in Pulmonary Function Indexes among Grassroots Hospitals in Corps—Combining Population Characteristics and Quality Control Results

• 摘要：［摘要］目的 探究兵团基层不同层级医疗机构（师属医院、团场分院）及片区（哈密、北疆）人群的肺功能指标特征，分析质控状态、人口学因素：体重指数（BMI）、年龄、性别对肺功能的影响，为基层呼吸系统疾病早期筛查与质控管理提供依据。方法 选取兵团23家基层医疗机构，采集5596例受试者的肺功能核心指标、肺功能检查质控结果，以及受试者BMI、年龄、性别等人口学数据；采用独立样本t检验、Pearson 相关分析、多因素方差分析等方法，比较不同分组的肺功能差异，分析指标关联，并结合文献探讨差异来源与机制。结果 ①组间差异：团场分院小气道指标异常率（25% Pred：73.7%、50% Pred：55.1%、75% Pred：53.4%）显著高于师属医院（P<0.001）；北疆地区区通气功能（FEV?、FEV?/FVC）优于哈密片区，而哈密片区肺容积（FVC）更高（P<0.001）。② 指标关联：肺容积类指标（FVC 与 VC）、通气动力类指标（PEF 与 MEP）呈极强正相关（r>0.95），FEV?/FVC 与肺容积指标关联极弱（r≈0）。③影响因素：年龄与 FEV?呈显著负相关（β=-0.109，P<0.001），BMI 对肺功能无显著独立影响；质控不合格组的 FVC、FEV?等指标均值显著高于合格组（P<0.001）。结论 兵团基层不同层级、片区的肺功能指标及小气道异常率存在显著差异，质控状态、年龄是肺功能的关键影响因素。基层需强化团场及特殊人群的肺功能质控管理，结合片区、年龄特征制定分层筛查策略，以提升呼吸系统疾病早期防控效率。

  关键词： 兵团基层医疗机构；肺功能；质控；小气道功能；人群分层; ; ; ; 

   

  Abstract: 【Abstract】Objective Investigate the characteristics of pulmonary function indicators among different levels of medical institutions (division-affiliated hospitals, regimental branch hospitals) and regions (Hami, Northern Xinjiang) in the grassroots units, analyze the quality control status and demographic factors: the impact of body mass index (BMI), age, and gender on pulmonary function, to provide a basis for early screening and quality control management of respiratory diseases at the grassroots level.Methods A total of 23 primary healthcare institutions in the Corps were selected to collect core pulmonary function indicators, quality control results of pulmonary function tests, as well as demographic data such as BMI, age, and gender from 5,596 subjects. Methods including independent samples t-test, Pearson correlation analysis, and multivariate analysis of variance were employed to compare pulmonary function differences among groups, analyze the correlation of indicators, and explore the sources and mechanisms of these differences in conjunction with literature.Results ① Between-group differences: The abnormal rate of small airway indicators in the regimental branch hospitals (25% Pred: 73.7%,50% Pred: 55.1%,75% Pred: 53.4%) was significantly higher than that in the division-affiliated hospitals (P<0.001). The ventilation function (FEV?, FEV?/FVC) in the Northern Xinjiang region was superior to that in the Hami region, while the Hami region exhibited higher lung volume (FVC) (P<0.001). ② Indicator associations: Lung volume-related indicators (FVC and VC) and ventilation dynamic indicators (PEF and MEP) showed a strong positive correlation (r>0.95), whereas the association between FEV?/FVC and lung volume indicators was weak (r≈0). ③ Influencing factors: Age was significantly negatively correlated with FEV? (β=-0.109, P<0.001), and BMI had no significant independent effect on lung function. The mean values of FVC, FEV?, and other indicators in the non-compliant quality control group were significantly higher than those in the compliant group (P<0.001).Conclusion There are significant differences in pulmonary function indicators and small airway abnormalities among different levels and regions within the grassroots units of the regiment. Quality control status and age are key influencing factors for pulmonary function. Grassroots units need to strengthen the quality control management of pulmonary function for regimental farms and special populations, and develop stratified screening strategies based on regional and age characteristics to improve the efficiency of early prevention and control of respiratory diseases.

  Key words: Grassroots medical institutions of the corps; pulmonary function; quality control; small airway function; population stratification

  提交时间：2026-01-20

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 吴宏, 胡军, 陈尔真, 董晨杰, 李建华, 叶琪. 基于大模型的医疗质控应用系统构建. 2025. doi: 10.12201/bmr.202503.00004

  刘英超, 张丽娜, 张秋月, 李震, 田佳. 老年重症肺炎患者凝血功能指标变化及意义. 2024. doi: 10.12201/bmr.202411.00035

  章凌雁, 廖昌泽, 金浪. 福建省基层医疗机构中医药服务能力实证研究. 2025. doi: 10.12201/bmr.202506.00064

  王丽萍, 许先荣, 魏毅. 小气道功能与慢性阻塞性肺疾病的研究进展. 2025. doi: 10.12201/bmr.202502.00063

  陈丕楠, 贺小宁, 谢诗桐, 吴晶, 赵琨, 谢锋. 中国人群健康相关生命质量概念框架构建：基于一般人群与疾病患者的质性研究. 2024. doi: 10.12201/bmr.202407.00012

  杨竣雅, 李晓丽, 金璐, 杨文裕, 郭君, 李颖, 柯俊吉, 乐琳. 肺康复在脑卒中后吞咽障碍患者中的应用进展. 2025. doi: 10.12201/bmr.202501.00056

  徐铭遥, 刘宏伟, 李瑞锋. 政策工具视角下我国基层中医药发展政策文本分析. 2023. doi: 10.12201/bmr.202304.00005

  张绪, 崔芳芳, 初云天, 王伟一, 赵杰. 医疗机构与医务人员视角下远程医疗设施运行情况评价分析. 2023. doi: 10.12201/bmr.202305.00023

  饶效, 薛剑波, 周志有. Mimics三维重建技术联合Hookwire定位在肺小结节胸腔镜手术中的应用价值. 2025. doi: 10.12201/bmr.202503.00051

  金玉香, 张一. 双重任务训练对卒中后认知功能影响的meta分析. 2025. doi: 10.12201/bmr.202502.00002

• 序号	提交日期	编号	操作
  1	2026-01-06	10.12201/bmr.202601.00061V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论