尘肺病患者病情评估的探讨  

Preliminary study on the evaluation of pneumoconiosis

作　　者：侯翠翠 曹殿凤[3] 高萍[3] 张宝玲[3] 闫永建[2] Hou Cuicui;Cao Dianfeng;Gao Ping;Zhang Baoling;Yah Yongjian(School of Medicine and Life Sciences,University of Jinan,Shandong Academy of Medical Sciences ,Jinan250062,China)

机构地区：[1]济南大学山东省医学科学院医学与生命科学学院,250062 [2]山东省职业卫生与职业病防治研究院 [3]淄博市职业病防治院

出　　处：《中华劳动卫生职业病杂志》2018年第10期749-752,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的选择合适的病情评估指标,制定尘肺病患者病情综合评估分组方案,探讨该综合评估分组在尘肺病临床评价中的作用。方法结合临床症状、肺功能、尘肺分期、急性加重、并发症制定综合评估分组方案,对138例新诊断尘肺病患者进行综合评估分组,将其分为低危险组、中危险组、(很)高危险组,并进行电话随访追踪,记录尘肺病患者出院后1年内的健康状况和生活质量。分析综合评估分组与症状评分、肺功能、尘肺分期、急性加重、并发症的关系;分析综合评估分组与危险事件(1年内患者就诊次数、住院次数、机械通气次数、死亡例数)和CAT评分的关系。结果低危险组、中危险组和(很)高危险组患者在临床症状、肺功能损伤、尘肺分期、急性加重及并发症的差异有统计学意义(P<0.01)。随着综合评估得分的升高,CAT评分升高,1年内就诊次数、住院次数及机械通气次数增加,差异有统计学意义(P<0.01);Spearman相关分析显示,该综合评估分组与CAT评分和1年内就诊次数、住院次数、机械通气次数、死亡情况均呈正相关。结论结合临床症状、肺功能、尘肺分期、急性加重、并发症五方面制定的尘肺病患者病情综合评估分组能够评价尘肺病患者的病情严重程度,对病情的判断较为准确及全面。Objective Select the appropriate disease assessment indicators, formulate the comprehensive evaluation group of pneumoconiosis patients, and explore the role of the comprehensive evaluation grouping in the clinical evaluation of pneumoconiosis, and provide the basis for the prognosis of pneumoconiosis. Methods Combined with clinical symptoms, pulmonary function, pneumoconiosis stage, acute exacerbation and complications, a comprehensive assessment of pneumoconiosis patients was established.138 newly diagnosed pneumoconiosis patients were divided into low risk group, middle risk group and (very) high risk group. The patients were followed up by telephone to record their health status and quality of life within one year after discharge from hospital. Analysis of the relationship between the comprehensive assessment group of patients with pneumoconiosis and symptom score, pulmonary function, pneumoconiosis stage, acute exacerbation and complications. The relationship between the comprehensive assessment group of pneumoconiosis patients and the risk events (the number of visits, hospitalization, mechanical ventilation, death cases in one year) and CAT score were analyzed. Results There were significant differences in clinical symptoms, pulmonary function injury, pneumoconiosis stage, acute exacerbation and complications among patients in low risk group, middle risk group and (very) high risk group (P<0.01). With the increase of comprehensive assessment score, CAT score increased, the risk events increased, the difference was statistically significant (P<0.01). Spearman correlation analysis showed that the comprehensive assessment group was significantly correlated with the number of visits, hospitalization, mechanical ventilation, deaths and CAT score in one year. Conclusion Combined with clinical symptom assessment, pulmonary function assessment, chest imaging assessment, acute exacerbation assessment, and complication assessment, the pneumoconiosis patients' comprehensive assessment group formulated can evaluate th

关 键 词：尘肺病 综合评估分组 相关性 

分 类 号：R135.2[医药卫生—劳动卫生]