新医学
新醫學
신의학
NEW CHINESE MEDICINE
2014年
12期
832-834
,共3页
吴浩%许子彬%陆燕华%李建国
吳浩%許子彬%陸燕華%李建國
오호%허자빈%륙연화%리건국
慢性阻塞性肺疾病%急性加重期%临床症状
慢性阻塞性肺疾病%急性加重期%臨床癥狀
만성조새성폐질병%급성가중기%림상증상
Chronic obstructive pulmonary disease%Acute exacerbations%Clinical symptom
目的:探讨COPD患者自我评估测试(CAT)问卷应用于急性加重期COPD (AECO-PD)病情评估的临床价值。方法选择132例住院AECOPD患者,根据气流阻塞程度分为Ⅰ、Ⅱ、Ⅲ、Ⅳ级,入院后48 h内及出院后4周分别进行肺功能检测及CAT评分,并对结果作对比分析。结果Ⅰ~Ⅲ级AECOPD患者的CAT评分的变化与气流阻塞的改善有关(P均<0.05),而Ⅳ级患者的CAT评分变化与气流阻塞的变化无关(P>0.05)。Ⅳ级患者中,并发症≥3个的患者CAT评分低于并发症≤2个的患者[(26.9±4.3)vs.(31.8±5.1),P<0.05]。结论 CAT问卷评估Ⅰ~Ⅲ级AE-COPD的病情变化具有较好的敏感性,合并症≥3个的Ⅳ级患者的CAT评分高于合并症≤2个的患者。
目的:探討COPD患者自我評估測試(CAT)問捲應用于急性加重期COPD (AECO-PD)病情評估的臨床價值。方法選擇132例住院AECOPD患者,根據氣流阻塞程度分為Ⅰ、Ⅱ、Ⅲ、Ⅳ級,入院後48 h內及齣院後4週分彆進行肺功能檢測及CAT評分,併對結果作對比分析。結果Ⅰ~Ⅲ級AECOPD患者的CAT評分的變化與氣流阻塞的改善有關(P均<0.05),而Ⅳ級患者的CAT評分變化與氣流阻塞的變化無關(P>0.05)。Ⅳ級患者中,併髮癥≥3箇的患者CAT評分低于併髮癥≤2箇的患者[(26.9±4.3)vs.(31.8±5.1),P<0.05]。結論 CAT問捲評估Ⅰ~Ⅲ級AE-COPD的病情變化具有較好的敏感性,閤併癥≥3箇的Ⅳ級患者的CAT評分高于閤併癥≤2箇的患者。
목적:탐토COPD환자자아평고측시(CAT)문권응용우급성가중기COPD (AECO-PD)병정평고적림상개치。방법선택132례주원AECOPD환자,근거기류조새정도분위Ⅰ、Ⅱ、Ⅲ、Ⅳ급,입원후48 h내급출원후4주분별진행폐공능검측급CAT평분,병대결과작대비분석。결과Ⅰ~Ⅲ급AECOPD환자적CAT평분적변화여기류조새적개선유관(P균<0.05),이Ⅳ급환자적CAT평분변화여기류조새적변화무관(P>0.05)。Ⅳ급환자중,병발증≥3개적환자CAT평분저우병발증≤2개적환자[(26.9±4.3)vs.(31.8±5.1),P<0.05]。결론 CAT문권평고Ⅰ~Ⅲ급AE-COPD적병정변화구유교호적민감성,합병증≥3개적Ⅳ급환자적CAT평분고우합병증≤2개적환자。
Objective To explore the clinical value of the COPD assessment test (CAT)in evalua-ting the severity of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Methods A to-tal of 132 hospitalized patients with AECOPD were divided into four groups according to the degree of airflow obstruction. All patients underwent lung function test and CAT questionnaire within 48 h after hospitalization and 4 weeks after discharge. Results Except for the patients with gradeⅣAECOPD (P>0. 05 ),the changes in CAT scores of those with gradesⅠ,Ⅱ and Ⅲ were correlated with the improvement of airflow construction (all P<0. 05 ). For patients with grade ⅣAECOPD,the CAT scores in patients with≥3 types of complica-tions were significantly lower compared with those with ≤ 2 types of complications (26. 9 ±4. 3 vs. 31. 8 ± 5. 1,P<0. 05). Conclusions CAT questionnaire had a high sensitivity in assessing the changes in grades I~III AECOPD. In addition,patients with≥3 types of complications had significantly higher CAT scores com-pared with those with ≤2 types of complications.