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-  2015 

慢性阻塞性肺疾病呼吸困难分级的临床方法评价

DOI: doi:10.7507/1671-6205.2015066

Keywords: 慢性阻塞性肺疾病, 呼吸困难, 肺功能, 生活质量, 评价

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Abstract:

目的评价3种呼吸困难评分工具在我国慢性阻塞性肺疾病(简称慢阻肺)患者中应用的临床价值。 方法选择2012年1月至2014年12月在河南省胸科医院呼吸科就诊的稳定期慢阻肺患者66例,采用医学研究会呼吸困难量表(MRC)、氧值图解(OCD)和基础呼吸困难指数(BDI)行呼吸困难评分,采用中文版医学结局调查(SF-36)行生活质量评估,并行肺功能测试。 结果3种呼吸困难评分相互之间有较强相关性(r值为-0.855~0.915);3种呼吸困难评分和年龄、身高及体重之间无明显相关性;MRC、OCD及BDI分别和用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、残气肺总量比及一氧化碳弥散量有显著相关性(r值为-0.269~-0.461),与FEV1/FVC无明显相关性;3种呼吸困难评分均与SF-36除情感职能及精神健康以外的6个部分有显著相关性,肺功能指标和SF-36的生理功能和情感职能2个部分有较强相关性,呼吸困难评分与生活质量的相关性较肺功能指标与生活质量的相关性明显。 结论3种呼吸困难评分与其他生理及临床指标具有较好的相关性,值得临床推广

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