中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
3期
285-287
,共3页
朱慧儿%莫家赐%成东海%刘豹
硃慧兒%莫傢賜%成東海%劉豹
주혜인%막가사%성동해%류표
慢性阻塞性肺疾病%BODE指数%生活质量%农村
慢性阻塞性肺疾病%BODE指數%生活質量%農村
만성조새성폐질병%BODE지수%생활질량%농촌
Chronic obstructive pulmonary disease%BODE index%Life quality%Rural
目的 探讨我国农村地区慢性阻塞性肺疾病(COPD)患者BODE指数与生活质量的相关性及其应用价值.方法 选择广东省英德市九龙镇COPD稳定期患者26例.测定并计算其BODE指数各项目的评分.采用St George呼吸问卷(SGRQ)评价患者的生活质量.结果 患者BODE指数分级与SGRQ总分、症状分、活动分、影响分均具有相关性(r值分别为0.674、0.430、0.460、0.495,P均＜0.05);GOLD分级仅与SGRQ总分和活动分具有相关性(r值分别为0.447、0.418,P均＜0.05).多元线性逐步回归分析发现BODE指数中影响SGRQ总分的因素是6 min步行距离(t=-2.397,P=0.025)和呼吸困难(t=2.257,P=0.034).结论 农村COPD患者BODE指数和生活质量密切相关,BODE指数中6 min步行距离和呼吸困难对生活质量的影响最大.
目的 探討我國農村地區慢性阻塞性肺疾病(COPD)患者BODE指數與生活質量的相關性及其應用價值.方法 選擇廣東省英德市九龍鎮COPD穩定期患者26例.測定併計算其BODE指數各項目的評分.採用St George呼吸問捲(SGRQ)評價患者的生活質量.結果 患者BODE指數分級與SGRQ總分、癥狀分、活動分、影響分均具有相關性(r值分彆為0.674、0.430、0.460、0.495,P均＜0.05);GOLD分級僅與SGRQ總分和活動分具有相關性(r值分彆為0.447、0.418,P均＜0.05).多元線性逐步迴歸分析髮現BODE指數中影響SGRQ總分的因素是6 min步行距離(t=-2.397,P=0.025)和呼吸睏難(t=2.257,P=0.034).結論 農村COPD患者BODE指數和生活質量密切相關,BODE指數中6 min步行距離和呼吸睏難對生活質量的影響最大.
목적 탐토아국농촌지구만성조새성폐질병(COPD)환자BODE지수여생활질량적상관성급기응용개치.방법 선택광동성영덕시구룡진COPD은정기환자26례.측정병계산기BODE지수각항목적평분.채용St George호흡문권(SGRQ)평개환자적생활질량.결과 환자BODE지수분급여SGRQ총분、증상분、활동분、영향분균구유상관성(r치분별위0.674、0.430、0.460、0.495,P균＜0.05);GOLD분급부여SGRQ총분화활동분구유상관성(r치분별위0.447、0.418,P균＜0.05).다원선성축보회귀분석발현BODE지수중영향SGRQ총분적인소시6 min보행거리(t=-2.397,P=0.025)화호흡곤난(t=2.257,P=0.034).결론 농촌COPD환자BODE지수화생활질량밀절상관,BODE지수중6 min보행거리화호흡곤난대생활질량적영향최대.
Objective To evaluate the application value of BODE and the relationship between BODE index and life quality in patients with chronic obstructive pulmonary disease (COPD) in rural China. Methods A total of 26 rural patients with stable COPD were enrolled. BODE index and it's four components including body mass index ( BMI ), airflow obstruction ( FEV1 % ), dyspnea ( MMRC ) and exercise capacity ( 6MWD ) were calculated. St. Georgeps Respiratory Questionnaire (SGRQ) were used to evaluate health-related quality of life of these patients. Results The BODE index was significantly correlated with the SGRQ total score , symptom ,activity and impact score ( r = 0. 674,0. 430,0. 460,0. 495 respectively, Ps ＜ 0. 05 ). GOLD grade was only significantly correlated with the SGRQ total score and active score( r =0. 447,0. 418 ,Ps ＜0. 05 ). Stepwise liner multiple regression analysis showed that activity score of SGRRQ was an influence factor of BODE index. 6MWD of BODE index( t = - 2. 397, P = 0. 025 ) and MMRC ( t = 2. 257, P = 0. 034 ) were independently correlated with activity scores of SGRQ . Conclusion BODE index and life quality had significant relationship. 6MWD and MMRC of BODE index were the most powerful influence factors of life quality in rural COPD patients.
