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COPD评估测试与GOLD分级的相关性研究

发布时间:2018-07-22 19:28
【摘要】:目的:研究慢性阻塞性肺疾病患者COPD评估测试(The COPD assessmenttest,CAT)与GOLD分级的相关性。方法:选择新疆维吾尔自治区人民医院呼吸内科慢性阻塞性肺疾病急性加重期患者,应用CAT中文版对患者的生活质量进行评估,同时应用呼吸科肺功能室同一肺功能仪器测定常规肺功能和支气管扩张实验。根据CAT评分的分值对患者的生活质量进行分级,同时根据患者肺功能结果中支气管扩张实验后的FEV1占预计值的%进行GOLD分级,两者进行比较,,然后对结果进行相关性分析。结果:80例COPD患者中,男71例,女9例,年龄50—84岁,平均(65±10)岁;CAT总分值范围为5-39分,其中“轻微影响”为9例,“中等影响”为33例,“严重影响”为29例,“非常严重影响”为9例;GOLD分级Ⅰ级共10例,Ⅱ级22例,Ⅲ级33例,Ⅳ级15例。CAT分值随患者病情加重而逐渐增加,CAT评分与GOLD分级进行相关性分析后得出相关系数为0.59,P㩳0.01,有统计学意义,说明CAT评分与GOLD分级存在明显的相关性,但有部分患者CAT评分与GOLD分级不平行。结论:COPD评估测试与GOLD分级存在高度的相关性。
[Abstract]:Aim: to study the correlation between COPD assessment test (cat) and gold grade in patients with chronic obstructive pulmonary disease (COPD). Methods: the quality of life of patients with chronic obstructive pulmonary disease (COPD) in respiratory department of Xinjiang Uygur Autonomous region people's Hospital was evaluated by cat Chinese version. The routine pulmonary function and bronchiectasis were measured by the same pulmonary function instrument. According to the score of cat score, the quality of life of patients was graded, and according to the result of bronchiectasis, FEV1 of the patients was evaluated by gold grade after bronchiectasis test. The results were compared, and the correlation of the results was analyzed. Results among 80 patients with COPD, 71 males and 9 females, aged 50-84 years, averaged (65 卤10) years old, the total score of cat was 5-39, including 9 cases with "slight effect", 33 cases with "moderate effect" and 29 cases with "serious effect". There were 10 cases of grade 鈪

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