CAT评分在慢性组性肺疾病患者中应用.docVIP

CAT评分在慢性组性肺疾病患者中应用 　　[摘要] 目的 分析慢性阻塞性肺病（COPD）患者应用慢性阻塞性肺病评估测试（CAT）量表的临床效果。方法 整体选取2015年5月―2017年5月在该院就诊的164例COPD患者作为实验研究对象，所有患者均接受肺功能检查，通过改良英国医学研究委员会呼吸困难评级（MMRC）量表、CAT量表评估。结果 IV级患者FEV1%预计值（24.81±4.08）%明显低于I级患者（99.88±22.79）%，IV级患者CAT评分（32.57±11.79）分、MMRC评分（3.58±0.61）分明显高于I级患者（6.58±2.29）分、（0.09±0.32）分。患者CAT评分和FEV1%预计值之间呈负相关（r=-0.46，P0.05）；CAT评分与MMRC之间呈正相关性（r=0.70，P0.05）。Cut off值为7.5，诊断特异性最佳为94.79%，敏感性最佳为78.81%，诊断准确性为86.59%。结论 CAT评分和COPD患者的MMRC评分、肺功能都存在一定的相关性，在临床诊断、评估COPD方面具有一定的应用价值。 　　[关键词] 慢性阻塞性肺疾病；CAT评分；临床诊断；应用分析 　　[中图分类号] R563 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0056-03 　　[Abstract] Objective This paper tries to analyze the clinical effect of chronic obstructive pulmonary disease assessment test （CAT） scale for patients with chronic obstructive pulmonary disease（COPD）. Methods Group selection 164 cases of patients with COPD treated in this hospital from May 2015 to May 2017 were selected as the research objects， and all patients were examined by lung function through the improvement of the medical research council dyspnea rating scale（MMRC） and the CAT scale assessment. Results FEV1% predicted value of patients with grade IV was （24.81±4.08）%， significantly lower than that in patients with grade I of （99.88±22.79）%， CAT score of IV patients was （32.57±11.79）poines， MMRC score was （3.58±0.61）poines， higher than that of patients with grade I of（6.58±2.29）points，（0.09±0.32）points. CAT scores and FEV1 % expected value in patients showed a negative correlation（r=-0.46，P0.05）； there was a positive correlation between CAT scores and MMRC（r=0.70， P0.05）； the cut off value was 7.5， the best specificity was 94.79%， best sensitivity was 78.81%， the diagnostic accuracy was 86.59%. Conclusion The CAT score and MMRC score， pulmonary function in COPD patients have certain relevance， which has certain application value in the aspect of clinical diagnosis， assessment of COPD. 　　[Key words] Chronic obstructive pulmonary disease； CAT scales； Clinical diagnosis； Application analys