慢性阻塞性肺疾病患者情绪状态与BODE指数的关系  

Association of emotional status and BODE index in patients with chronic obstructive pulmonary disease

作　　者：赵新国[1] 黄利华[1] 黄捷晖[1] 张艳[1] 储美萍[1] 白金梅[1] 

机构地区：[1]无锡市第五人民医院呼吸病科,江苏省214005

出　　处：《江苏医药》2014年第20期2406-2408,共3页Jiangsu Medical Journal

基　　金：南京医科大学科技发展基金项目(2011NJMU117)

摘　　要：目的探讨急性加重期及稳定期慢性阻塞性肺疾病(COPD)患者情绪状态与患者BODE指数的联系。方法 COPD患者85例分为急性加重期(AECOPD组,48例)和稳定期(SCOPD组,37例),采用Hamilton焦虑量表(HAMA)和Hamilton抑郁(HAMD)评分评估患者焦虑和抑郁情况,BODE指数预测COPD患者病情及预后。分析COPD患者情绪状态与患者BODE指数的相关性。结果两组患者HAMA评分均大于7分,HAMD评分均大于8分。两组患者BODE指数、HAMA评分、HAMD评分及动脉血氧分压均有统计学差异(P<0.05)。HAMA和HAMD评分与BODE指数呈线性关系(R2=0.575和R2=0.503)。结论通过临床易于操作的量表分析COPD患者情绪状态变化特点,便于临床医师尽早认识并处理患者的异常情绪状态。Objective To investigate the relationship of emotional status and BODE index in the patients with chronic obstructive pulmonary disease （COPD）. Methods Eighty-five patients with COPD were assigned into two groups of AECOPD（with COPD in acute exacerbation, 48 cases） and SCOPD（with COPD in stable stage, 37 cases）. The anxiety and depression status were evaluated with Hamilton anxiety（HAMA） and depression（HAMD） scales. The prediction of condition and prognosis was performed by BODE index. The correlation of HAMA and HAMD with BODE index was analyzed. Results The patients in both groups had HAMA score greater than 7 points and HAMD score greater than 8 points. There were significant differences in BODE index, HAMA and HAMD scores, and partial pressure of oxygenation between two groups（P〈0. 05）. HAMA and HAMD scores showed a linear relationship with BODE index（R2 =0. 575 and R2 =0. 503）. Conclusion To analyze the emotional status with simple scales may help physicians to find and deal with the abnormal emotional status of patients with COPD.

关 键 词：慢性阻塞性肺疾病 焦虑 抑郁 BODE指数 

分 类 号：R563[医药卫生—呼吸系统]