临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
6期
1030-1033,1034
,共5页
慢性阻塞性肺疾病%CAT%肺动脉高压%心功能%超声心动图
慢性阻塞性肺疾病%CAT%肺動脈高壓%心功能%超聲心動圖
만성조새성폐질병%CAT%폐동맥고압%심공능%초성심동도
Chronic obstructive pulmonary disease%COPD assessment test%pulmonary hypertension%heart function%Doppler ultrasound images
目的：探讨慢性阻塞性肺疾病急性加重期患者CAT评分量表与右心功能之间相关性。方法对2014年1月至6月我科124例慢阻肺急性加重期住院患者进行前瞻性研究,符合入组条件患者62例,其中轻-中度组29例、重-极重度组33例,同期20例健康体检者为对照组。采用彩色多普勒超声测定并记录肺动脉压力( PAP)、心功能参数( RA-V、RVD、Tei ),所有受试者完成CAT评分量表、肺功能参数、动脉血气测定。结果轻-中度、重-极重度组的CAT评分与PAP均具有显著正相关性(P<0．01)；CAT评分与RA-V、RVD成正相关,且轻-中度组更具有显著相关性(r=0．654,r=0．444)；CAT评分与Tei成显著正相关性,P值<0.01。结论慢阻肺急性加重期患者CAT评分与右心功能参数间均有显著相关性,提示CAT可用于慢阻肺急性加重期右心功能严重程度评估,右心心功能变化可能影响CAT评分分值,从而拓展CAT在临床的应用范围。
目的：探討慢性阻塞性肺疾病急性加重期患者CAT評分量錶與右心功能之間相關性。方法對2014年1月至6月我科124例慢阻肺急性加重期住院患者進行前瞻性研究,符閤入組條件患者62例,其中輕-中度組29例、重-極重度組33例,同期20例健康體檢者為對照組。採用綵色多普勒超聲測定併記錄肺動脈壓力( PAP)、心功能參數( RA-V、RVD、Tei ),所有受試者完成CAT評分量錶、肺功能參數、動脈血氣測定。結果輕-中度、重-極重度組的CAT評分與PAP均具有顯著正相關性(P<0．01)；CAT評分與RA-V、RVD成正相關,且輕-中度組更具有顯著相關性(r=0．654,r=0．444)；CAT評分與Tei成顯著正相關性,P值<0.01。結論慢阻肺急性加重期患者CAT評分與右心功能參數間均有顯著相關性,提示CAT可用于慢阻肺急性加重期右心功能嚴重程度評估,右心心功能變化可能影響CAT評分分值,從而拓展CAT在臨床的應用範圍。
목적：탐토만성조새성폐질병급성가중기환자CAT평분량표여우심공능지간상관성。방법대2014년1월지6월아과124례만조폐급성가중기주원환자진행전첨성연구,부합입조조건환자62례,기중경-중도조29례、중-겁중도조33례,동기20례건강체검자위대조조。채용채색다보륵초성측정병기록폐동맥압력( PAP)、심공능삼수( RA-V、RVD、Tei ),소유수시자완성CAT평분량표、폐공능삼수、동맥혈기측정。결과경-중도、중-겁중도조적CAT평분여PAP균구유현저정상관성(P<0．01)；CAT평분여RA-V、RVD성정상관,차경-중도조경구유현저상관성(r=0．654,r=0．444)；CAT평분여Tei성현저정상관성,P치<0.01。결론만조폐급성가중기환자CAT평분여우심공능삼수간균유현저상관성,제시CAT가용우만조폐급성가중기우심공능엄중정도평고,우심심공능변화가능영향CAT평분분치,종이탁전CAT재림상적응용범위。
Objective To explore the relationships between COPD assessment test score and right heart function in Patients with Acute exacerbation Chronic Obstructive Pulmonary Disease( AECOPD) . Methods 124 pa-tients with clinician-diagnosed acute exacerbation of COPD have prospectively studied, Finally, 62 matches were re-cruited. Include Twenty-nine mild-to-moderate, thirty-three severe-to-very severe AECOPD patients, twenty subjects as control. Pulmonary artery pressure, cardiac function parameters ( RA-V, RVD, Tei) was measured and recorded by Color Doppler ultrasound,Pulmonary function, arterial blood gas were evaluated in each subject. Meanwhile, they completed the CAT questionnaire independently. Results Positive correlations were found between CAT scores and PAP, RA-V, RVD, Tei, while, there have more significant correlation between CAT and RA-V, RVD in mild-to-moderate group. Conclusion Among patients with acute exacerbation of COPD, CAT score were found significantly correlated with right ventricular function parameters,which may be also as an useful instrument to evaluate severity of right heart function following COPD exacerbations, thus expanding the scope of application of CAT in clinical prac-tice.
