述情障碍在慢性阻塞性肺疾病患者病情评估中的临床意义  

Clinical Significance of Alexithymia in Combined Assessment of Patients with Chronic Obstructive Pulmonary Disease

作　　者：熊智[1] 董浩[1] 任祥春 

机构地区：[1]含山县人民医院呼吸科,安徽含山238200

出　　处：《中国呼吸与危重监护杂志》2015年第1期10-12,共3页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的了解述情障碍在慢性阻塞性肺疾病(简称慢阻肺)患者病情评估中的临床意义。方法连续性收集2013年7月至2014年7月在含山县人民医院就诊的慢阻肺患者,共纳入60例研究对象。根据改良英国呼吸困难指数(m MRC)、肺功能及急性加重风险进行慢阻肺综合评估并分为4组,采用多伦多述情障碍量表(TAS-20)评价述情障碍。结果无述情障碍患者38例,男20例、女18例,平均年龄(72.7±8.7)岁。合并述情障碍患者22例,男18例、女4例,平均年龄(76.8±7.9)岁。述情障碍发病率为36.7%。无述情障碍患者组与合并述情障碍患者组间的性别、m MRC、肺功能分级、综合评估比较差异有统计学意义(P<0.05)。4个综合评估组之间TAS-20各因子F1、F2、F3及TAS-20总分比较差异有统计学意义(P<0.05)。述情障碍评价与慢阻肺病情评估中的m MRC、肺功能分级及综合评估分组呈明显正相关性(P<0.05)。结论述情障碍在慢阻肺患者中发病率较高,且与慢阻肺病情评估关系密切。对慢阻肺患者综合评估时需要关注述情障碍评价。Objective To investigate the clinical significance of alexithymia in combined assessment of patients with chronic obstructive pulmonary disease( COPD). Methods A total of 60 patients were enrolled during July 2013 and July 2014,who were divided into four groups according to modified British medical research council( m MRC),pulmonary function and acute exacerbation risk.Toronto Alexithymia Scale 20( TAS-20) was used to detect alexithymia. Results Thirty-eight patients had no alexithymia including 20 males and 18 females with an average age of( 72. 7 ± 8. 7) years. Twenty-two patients had alexithymia including 18 males and 4 females with an average age of( 76. 8 ± 7. 9) years.Incidence of alexithymia in the COPD patients was 36. 7%. The differences in gender,m MRC,pulmonary function and combined assessment between the COPD patients without alexithymia and the COPD patients with alexithymia were significantly different( P < 0. 05). The scores of TAS-20 and its subscale F1,F2,F3 in different groups of combined assessment showed significant difference( P < 0. 05). Alexithymia evaluation showed positively correlations with m MRC,pulmonary function grades and combined assessment.Conclusions The prevalence of alexithymia in COPD patients is high and closely related to COPD disease severity. Attentions should be paid to alexithymia in combined assessment of COPD patients.

关 键 词：述情障碍 慢性阻塞性肺疾病 病情评估 

分 类 号：R563.9[医药卫生—呼吸系统]