慢性阻塞性肺疾病不同测评工具比较

圣乔治量表（SGRQ）虽然能真实有效评估慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）患者的生存质量,可以为治疗前后患者生存质量的变化提供有价值的临床判断依据,但该量表的不足之处在于条目繁多,统计方法复杂,需要较长时间才能完成,而门诊上时间往往比较紧迫,所以操作不太方便。COPD评估测试（COPD Assessmetn Test,CAT）条目简短,需时较少,操作方便,在评估我国COPD患者的生命质量中是可靠、有效的标准化测量方法。COPD生存质量测评表（COPD-QOL）量表条目介于CAT和SGRQ之间,除了日常生活能力方面,还有精神心理层面的评估。COPD患者报告的临床结局（COPD-PRO）简便易行,不仅包括生存质量和健康状况,也包括对治疗措施的满意度的患者结局评价信息。其作为一种独特的评价疾病影响的指标及评价治疗效应的要素,是制定治疗决策的一个关键成分。

Comparison Different Assessment Tools of Chronic Obstructive Pulmonary Disease

Although St george＇s respiratory questionnaire（SGRQ） can be real and effective evaluation of life quality of chronic obstruc- tive pulmonary disease （COPD） patients, and provide valuable clinical judgment basis for changes of the life quality of patients before and after treatment, but the shortcoming in the entry of the scale is various, complex statistical method, taking a long time to complete, while the time is more urgent in outpatient services, so the operation is not very convenient. COPD assessment test （CAT） questionnaire item is short, saving time, easy operation, and it is reliable and effective standardized measurement method for evaluation the quality of life of patients with COPD is in our country. COPD quality of life evaluation form（COPD-QOL） scale item is between CAT and SGRQ, in addition to the daily life ability,and evaluation on spirit and psychological planes. COPD patients report outcome（COPD-PRO） was simple, including not only life quality and health, but also outcome assessment information on the satisfactory degree of patients for treat- ment measurement. As a unique evaluation index of disease impact, factors evaluation the effect is a key ingredient of formulating treat- ment decisions.