老年慢性阻塞性肺病患者CAT评分的临床应用分析  

Analysis of Clinical Application of CAT Score in Elderly Patients with Chronic Obstructive Pul- monary Disease

作　　者：李维欣[1] 李晓峰[1] 蒋毋右[1] 

机构地区：[1]上海市普陀区人民医院,上海200060

出　　处：《医学临床研究》2013年第5期897-899,共3页Journal of Clinical Research

摘　　要：【目的】研究慢性阻塞性肺病（COPD）评估测试（CAT）量表用于评估老年COPD患者生命质量的临床应用价值。【方法】选择本院COPD稳定期的老年患者分别进行CAT评分、呼吸困难分级评分（MMRC）及肺功能测定，对其结果作相关性分析。分析CAT评分与MMRC评分、CAT评分与肺功能指标之间的相关性，观察CAT评分对病情严重程度的评估价值。【结果195例老年COPD患者中，年龄65～87（77土5）岁。CAT评分随患者病情严重程度加重而逐渐加重，CAT总评分与MMRC评分具有较好相关性（r=-0．713，P〈O．01），与第1秒用力呼气容积（FEV1）占预计值％呈显著负相关（r=-0．565，P〈0．01）。【结论】CAT量表是一种方便临床应用的有效的测量方法，能很好地评估老年COPD患者的生活质量情况。[Objective]To explore the clinical application value of chronic obstructive pulmonary disease （COPD） assessment test（CAT） scale in the evaluation of quality of life in elderly patients with COPD. [Methods] Elderly patients with COPD in stable stage in our hospital were chosen and received CAT and dyspnea classification score（MMRC）. Lung function was measured. The results were used for correlative analysis. The reliability and validity of CAT concordance were evaluated. The correlation between CAT score and MMRC score, CAT score and lung function parameters were analyzed. The value of CAT score in assessing the severity of the disease was observed. CResultsl Mean age of 95 elderly patients with COPD was 65 - 87 years old（77±5）. CAT scores gradually increased with the severity of the disease. Total CAT scores was significantly positively correlated with MMRC scores （r =0. 713, P 〈0.01）, and significantly negatively correlated with FEVI%（r=-0. 565, P〈0.01）. [Conclusion] CAT scale is a convenient and effective measure in clinical practice, and can better assess the quality of life in elderly patients with COPD.

关 键 词：肺疾病 慢性阻塞性 

分 类 号：R563.1[医药卫生—呼吸系统]