尘肺病患者双肺大容量肺灌洗治疗前后生存质量对比分析  

Comparative analysis of quality of life in patients with pneumoconiosis before and after whole-lung large-volume lavage

作　　者：孙治平 李宝平 高丽妮 计玉容 周云芝 侯博文 程庆好 李小丽 秦芳 王书方 汪伟 SUN Zhi-ping;LI Bao-ping;GAO Li-nil;JI Yu-rong;ZHOU Yun-zhi;HOU Bo-wen;CHENG Qing-hao;LI Xiao-li;QIN Fang;WANG Shu-fang;WANG Wei(Department of Occupational Diseases,Emergency General Hospital,Beijing,100028,China;Reform Office,Beijing Emergency Center,Beijing,100031,China)

机构地区：[1]应急总医院职业病科,北京100028 [2]北京急救中心改革办公室,北京100031

出　　处：《职业与健康》2021年第13期1834-1836,1839,共4页Occupation and Health

基　　金：应急总医院(原煤炭总医院)医学发展科研基金(K201615)。

摘　　要：目的分析尘肺病患者在双肺大容量肺灌洗治疗前后生存质量变化情况。方法选择2016年4月—2019年10月在应急总医院住院接受双肺大容量肺灌洗治疗的67例尘肺病患者作为观察对象,通过问卷调查的方式,对尘肺病患者在灌洗前及灌洗后1个月和3个月分别进行世界卫生组织生活质量测定(WHO quality of life,WHOQOL-BREF)量表简表及自设一般情况量表测试,对其生存质量进行评定。结果接受双肺大容量肺灌洗治疗的尘肺病患者在灌洗后3个月对自身生存质量、自身健康状况评价以及在生理和心理领域及环境领域的得分优于灌洗后1个月,两者均优于灌洗前,差异均有统计学意义(均P<0.05)。生理领域灌洗前得分为13.96±1.17,灌洗后1个月得分为14.10±1.89,灌洗后3个月得分14.57±1.56,差异有统计学意义(P<0.01);心理领域灌洗前得分为13.79±1.37,灌洗后1个月得分为14.00±1.70,灌洗后3个月得分14.62±1.74,差异有统计学意义(P<0.01);社会领域灌洗前得分为15.18±1.14,灌洗后1个月得分为15.10±1.34,灌洗后3个月得分15.29±1.40,差异无统计学意义(P>0.05);环境领域灌洗前得分为11.75±1.40,灌洗后1个月得分为11.85±1.34,灌洗后3个月得分11.90±1.27,差异有统计学意义(P<0.05)。结论双肺大容量肺灌洗治疗短期内有利于改善尘肺病患者生存质量。Objective To analyze the change of quality of life of pneumoconiosis patients before and after whole-lung large-volume lavage. Methods Totally 67 patients with pneumoconiosis,who were hospitalized in the Emergency General Hospital from April2016 to October 2019 and received whole-lung large-volume lavage treatment,were selected as observation objects. Through questionnaire survey,the patients with pneumoconiosis were measured with the Brief Version of World Health Organization Quality of Life(WHO quality of life,WHOQOL-BREF) scale and self-designed general condition scale before lavage and one month and three months after lavage,to assess their quality of life. Results After three months of lavage,pneumoconiosis patients who received whole-lung large-volume lavage had better scores on self-assessment on quality of life and health status,as well as scores of physiology,psychology and environment than those after one month of lavage,while the scores after one month and three months of lavage were both higher than those before lavage,and the differences were statistically significant(P<0.05). The scores of physiological field before lavage,after one month and three months of lavage were respectively 13.96 ±1.17,14.10 ±1.89 and14.57±1.56,and the difference was statistically significant(P<0.01). The scores of psychological field before lavage,after one month and three months of lavage were respectively 13.79 ±1.37,14.00±1.70 and 14.62±1.74,and the difference was statistically significant(P<0.01). The scores of social field before lavage,after one month and three months of lavage were respectively 15.18±1.14,15.10±1.34 and 15.29±1.40,and the difference was not statistically significant(P>0.05). The scores of environmental field before lavage,after one month and three months of lavage were respectively 11.75 ±1.40,11.85 ±1.34 and 11.90 ±1.27,and the difference was statistically significant(P<0.05). Conclusion Whole-lung large-volume lavage treatment is beneficial to improve the quality of life of patients wi

关 键 词：尘肺病 双肺大容量肺灌洗 生存质量 世界卫生组织生活质量测定量表简表 

分 类 号：R135.2[医药卫生—劳动卫生]