Aibar Arregui M A, Laborda Ezquerra K, Conget López F
Servicio de Neumologiá, Hospital Clínico Universitario Lozano Blesa, Zaragoza.
An Med Interna. 2007 Oct;24(10):473-7. doi: 10.4321/s0212-71992007001000003.
In chronic diseases take special importance their influence in patient s daily life, in other words, on its quality of life. The Chronic Obstructive Pulmonary Disease (COPD) is one of the most important chronic diseases in our country, as much by its prevalence as by its economic impact. For the assessment of the life quality in these patients, we have specific questionnaires like the SGRQ, which can help us to better know the disease and its influence on patient s life. In our work the relationship of SGRQ with age, tobacco consumption, gasometrical data and severity of the disease are studied.
51 patients with COPD and without significant comorbidities were selected and the SGRQ was administered to them by a trained interviewer; for every patient we also recovered the gasometrical values, the spirometric data, and their tobacco consumption background.
The average score in each one of SGRQ scales were: global scale 40.49 +/- 18.98, symptoms scale 34.76 +/- 16.31, activity scale 56.68 +/- 23.72 and in the impact scale 32.86 +/- 19.96.We have found weak but significant correlations between the SGRQ results and the patient s age and the FEV1, but not with the gasometrical data or with the accumulated tobacco consumption.
We can conclude that, in our work, the parameters that better correlates objective data with health-related quality of life of COPD patients are the age and the severity of the obstruction.
在慢性疾病中，其对患者日常生活的影响，换句话说，对其生活质量的影响尤为重要。慢性阻塞性肺疾病（COPD）是我国最重要的慢性疾病之一，无论是从其患病率还是经济影响来看都是如此。对于评估这些患者的生活质量，我们有像圣乔治呼吸问卷（SGRQ）这样的特定问卷，它能帮助我们更好地了解疾病及其对患者生活的影响。在我们的研究中，探讨了SGRQ与年龄、烟草消费、气体测量数据以及疾病严重程度之间的关系。
选取51例无显著合并症的COPD患者，由经过培训的访谈者对他们进行SGRQ问卷调查；对于每位患者，我们还收集了气体测量值、肺功能数据及其烟草消费背景信息。
SGRQ各量表的平均得分分别为：总体量表40.49±18.98，症状量表34.76±16.31，活动量表56.68±23.72，影响量表32.86±19.96。我们发现SGRQ结果与患者年龄和第一秒用力呼气容积（FEV1）之间存在微弱但显著的相关性，但与气体测量数据或累计烟草消费量无关。
我们可以得出结论，在我们的研究中，能将客观数据与COPD患者健康相关生活质量更好关联起来的参数是年龄和阻塞的严重程度。
