COPD老年患者病情严重程度与生活质量的相关性

发布时间：2018-12-13 11:38

【摘要】：目的探讨BODE多维评分系统对慢性阻塞性肺疾病(COPD)与患者生活质量的相关性分析。方法选取2013年7月至2014年7月于该院就诊的90例COPD稳定期患者。受试者根据BODE多维评分系统分为4组,BODE评分0~2分为1级组(n=29)、3~4分为2级组(n=25)、5~6分为3级组(n=20)、7~10分为4级组(n=16)。分别采集各组BODE多维评分系统各项数据(体重指数(BMI)、第1秒用力呼气容积占预计值百分比(FEV1%预计值)、(MRC)呼吸困难评分、运动能力测定及圣乔治呼吸问卷(SGRQ),并将BODE多维评分系统与SGRQ进行相关性分析和回归分析。结果 1~4级组的SGRQ部分评分及总分从左到右分别逐渐增高(P0.01);BODE多维评分系统与SGRQ部分评分及总分呈正相关(P0.01);BODE多维评分系统可以分别解释SGRQ症状评分、活动能力评分、生活影响评分、总分变异的15.9%、51.6%、44.6%、40.9%。结论 BODE多维评分系统是评价COPD患者病情严重程度与其生活质量相关性的重要手段。
[Abstract]:Objective to investigate the correlation between (COPD) and quality of life in patients with chronic obstructive pulmonary disease (COPD) by BODE multi-dimensional scoring system. Methods from July 2013 to July 2014, 90 stable COPD patients were selected. The subjects were divided into 4 groups according to the BODE multi-dimensional scoring system. The BODE score 0 / 2 was divided into 1 grade group (n = 29), 3 D group was divided into 2 grades group (n = 25), 5 cases were divided into 3 grades group (n = 20), 7 / 10 group was divided into 4 grade group (n = 16). The data of BODE multidimensional scoring system were collected in each group (body mass index (BMI),) forced expiratory volume in the first second as a percentage of predicted value (FEV1% prediction value), (MRC) score of dyspnea). Motor ability test and St George's breathing questionnaire (SGRQ),) were used to analyze the correlation between BODE multi-dimensional score system and SGRQ. Results 1the SGRQ score and total score increased gradually from left to right in grade 4 group (P0.01); BODE multidimensional score system was positively correlated with SGRQ partial score and total score (P0.01); The BODE multi-dimensional scoring system can explain the SGRQ symptom score, activity ability score, life impact score, and the total variation of 15.9%, 51.6% and 44.6% 40.9% respectively. Conclusion BODE multi-dimensional scoring system is an important method to evaluate the correlation between the severity of COPD patients and their quality of life.
【作者单位】：温州医科大学附属乐清医院呼吸内科;温州市中心医院内科;
【基金】：温州市医药卫生科学研究项目计划(2013B41)
【分类号】：R563.9

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