不同Borg评分患者临床特征及Borg评分对呼吸系统疾病的预后价值  

Clinical Characteristics of Patients with Different Borg Scores and the Prognostic Value of Borg Score for Respiratory Diseases

作　　者：张勇[1] 周鹏[2] 刘涛 陈萍[4] Zhang Yong;Zhou Peng;Liu Tao;Chen Ping(Department of Respiratory and Critical Care Medicine, Pengzhou People's Hospital, Pengzhou 611930, China;Department of Cardiology, The First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China;Department of Geriatrics, Pengzhou People's Hospital, Pengzhou 611930, China;Department of Otolaryngology, Pengzhou People's Hospital, Pengzhou 611930, China)

机构地区：[1]彭州市人民医院呼吸与危重症医学科,彭州611930 [2]成都医学院第一附属医院心内科,成都610500 [3]彭州市人民医院老年医学科,彭州611930 [4]彭州市人民医院耳鼻喉科,彭州611930

出　　处：《成都医学院学报》2021年第4期512-515,共4页Journal of Chengdu Medical College

摘　　要：目的比较呼吸与危重症医学科住院患者不同Borg评分的临床特征,探讨Borg评分的预后价值。方法选取2016年1月至2020年1月于彭州市人民医院呼吸与危重症医学科住院的245例患者为研究对象,根据Borg评分将患者分为0分组(n=90)、1~3分组(n=48)、4~6分组(n=71)、≥7分组(n=36)4组。比较4组患者临床特征,并探讨Borg评分对呼吸系统疾病的预后价值。结果与0分组、1~3分组相比,4~6分组、≥7分组患者年龄更大(P<0.05);合并高血压、慢性阻塞性肺疾病(COPD)者更多(P<0.05)。与其他3组相比,≥7分组住院时间更长(P<0.001);出院1年呼吸困难再次住院率更高(P<0.05)。COPD、高血压、Borg≥7分为发生出院1年呼吸困难再次住院的独立危险因素。结论不同Borg评分有不同的临床特征,Borg评分与呼吸系统疾病预后具有相关性。针对呼吸系统疾病,建议有条件的医院对患者常规进行Borg评分评估,应重点关注Borg≥7分的人群,尤其是合并COPD和高血压的患者。Objective To compare the clinical characteristics of patients with different Borg scores among inpatients in the Department of Respiratory and Critical Care Medicine,and to explore the prognostic value of Borg scores for respiratory diseases.Methods A total of 245 patients hospitalized in the Department of Respiratory and Critical Care Medicine of Pengzhou People's Hospital from January 2016 to January 2020 were randomly selected as the research objects.According to their Borg score,the patients were divided into 4 groups0 group(n=90),1-3 group(n=48),4-6 group(n=71),and≥7 group(n=36).Clinical characteristics of 4 groups were compared.And the correlation between Borg score and the prognosis of respiratory diseases was investigated.Results Compared with 0 group and 1-3 group,4-6 group and≥7 group had older patients(P<0.05),and had more patients complicated with hypertension and chronic obstructive pulmonary disease(COPD)(P<0.05).Compared with the other 3 groups,≥7 group had longer hospital stay(P<0.001),and had higher percentage of patients re-hospitalized one year after discharge because of dyspnea(P<0.05).COPD,hypertension and Borg≥7 were the independent risk factors for re-hospitalization one year after discharge because of dyspnea.Conclusion Patients with different Borg scores have different clinical characteristics,and Borg scores are well correlated with respiratory diseases.For respiratory diseases,it is suggested that hospitals should grade patients with Borg scores routinely,and focus should be paid on patients with Borg≥7,especially those patients who are complicated with COPD or hypertension.

关 键 词：Borg评分 老年 呼吸系统疾病 预后 

分 类 号：R56.8[医药卫生—呼吸系统]