本文選題：CAT量表　切入點(diǎn)：mMRC量表　出處：《浙江大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究通過(guò)比較CAT、mMRC量表評(píng)估結(jié)果與肺功能檢查結(jié)果之間的相關(guān)性,探討應(yīng)用量表初步篩查COPD患者的可行性。方法:選擇2015年12月～2016年12月浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院肺功能室的COPD病人188例及對(duì)照組185例。采用CAT、mMRC量表對(duì)研究對(duì)象評(píng)分,并與肺功能結(jié)果進(jìn)行統(tǒng)計(jì)分析。同時(shí)選用SF-36評(píng)估表評(píng)價(jià)納入對(duì)象的生活質(zhì)量。結(jié)果:1.CAT評(píng)分、mMRC評(píng)分與肺功能指標(biāo)FEV1%pred、FEV1/FVC均有很好的相關(guān)性;2.COPD組CAT各項(xiàng)評(píng)分、mMRC評(píng)分均高于對(duì)照組;3.量表在COPD分級(jí)評(píng)價(jià)中沒有意義;4.不同分級(jí)COPD患者在咳嗽、咳痰、胸悶、氣促、活動(dòng)受限、外出信心六個(gè)項(xiàng)目評(píng)分均比對(duì)照組高,且分級(jí)越高評(píng)分越高。GOLDⅠ、GOLDⅡ睡眠評(píng)分與對(duì)照組差異無(wú)意義,GOLDⅢ、GOLDⅣ組睡眠評(píng)分比對(duì)照組高。GOLDⅠ組精力評(píng)分與對(duì)照組差異無(wú)意義,GOLDⅡ、GOLDⅢ、GOLDⅣ組精力評(píng)分比對(duì)照組高;5.mMRC量表中GOLDⅡ、GOLDⅢ GOLDⅣ分值均比對(duì)照組高,且等級(jí)越高mMRC評(píng)分越高。GOLD Ⅰ評(píng)分與對(duì)照組差異無(wú)意義;6.CAT量表與mMRC量表之間相關(guān)性較好;7.CAT評(píng)分對(duì)識(shí)別COPD有意義,當(dāng)Cut Off值為8.5時(shí),敏感性和特異性最好,分別為87.23%,78.92%。mMRC評(píng)分對(duì)識(shí)別COPD有意義,當(dāng)Cut Off值為0.5時(shí),敏感性和特異性最佳,分別為82.45%,63.78%。8.COPD 組 SF-36 量表在 GH、HT、PF、RP、BP、VT、MH、SF 八個(gè)項(xiàng)目評(píng)分均低于對(duì)照組,RE項(xiàng)評(píng)分兩組差異無(wú)意義。結(jié)論:CAT量表、mMRC量表與肺功能相關(guān)性好,可考慮在不能開展肺功能檢查的基層醫(yī)院對(duì)COPD高危人群進(jìn)行初步篩查,然而量表對(duì)判斷COPD患者病情嚴(yán)重程度沒有意義,不能作為分級(jí)診斷的依據(jù)。
[Abstract]:Objective: to compare the correlation between the evaluation results of CATmMRC and the results of pulmonary function examination. Methods: from December 2015 to December 2016, 188 COPD patients in the lung function room of run run run Shaw Hospital, Zhejiang University Medical College, and 185 control group were selected. At the same time, the quality of life of the subjects was evaluated by using the SF-36 evaluation form. Results 1. Cat score, mMRC score and the pulmonary function index FEV1 / FEV1 / FVC.2.The CAT scores of the COPD group were higher than those of the COPD group. There was no significance in the evaluation of COPD grading in the control group. (4) the patients with different grades of COPD were coughing. The scores of expectoration, chest tightness, shortness of breath, restricted activities and confidence in going out were higher than those in the control group. The higher the grade, the higher. Gold 鈪，

本文編號(hào)：1625800