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慢性荨麻疹患者的生活质量:巴西博图卡图一所公立大学门诊的调查

Quality of life in chronic urticaria: a survey at a public university outpatient clinic, Botucatu (Brazil).

作者信息

Silvares Maria Regina Cavariani, Fortes Maria Rita Parise, Miot Hélio Amante

机构信息

Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2011 Sep-Oct;57(5):577-82. doi: 10.1590/s0104-42302011000500018.

DOI:10.1590/s0104-42302011000500018
PMID:22012294
Abstract

OBJECTIVE

To evaluate the impact of chronic urticaria on quality of life of outpatients through the university questionnaire Dermatology Life Quality Index (DLQI).

METHODS

Survey of the impact on quality of life caused by chronic urticaria, using the DLQI questionnaire validated for the Portuguese language. Patients were interviewed during visits to a specialized outpatient clinic between May 2009 and May 2010 at a Brazilian public service (Botucatu-SP). DLQI scores were analyzed according to the following subgroups: age, gender, education, disease duration, and presence of angioedema.

RESULTS

We interviewed 100 patients with chronic urticaria. There was a female predominance (86%), mean age 41.8 years, mean disease duration of 6 years, and angioedema occurrence in 82% of patients. The mean DLQI score was 13.5, characterized by serious impact on quality of life, higher than Hansen's disease, psoriasis, atopic eczema, and basal cell carcinoma. The presence of angioedema was associated with higher scores: 14.5 x 9.9 (p < 0.01). Female patients reported greater impact on clothing, while male patients reported treatment interference with work and study (p < 0.05).

CONCLUSION

Chronic urticaria seriously compromises the quality of life of patients evaluated at a university service in Brazil, particularly of patients with angioedema.

摘要

目的

通过大学皮肤病生活质量指数(DLQI)问卷评估慢性荨麻疹对门诊患者生活质量的影响。

方法

使用经葡萄牙语验证的DLQI问卷,调查慢性荨麻疹对生活质量的影响。2009年5月至2010年5月期间,在巴西一家公共医疗机构(Botucatu-SP)的专科门诊对患者进行访谈。根据年龄、性别、教育程度、病程和血管性水肿的存在情况等亚组分析DLQI评分。

结果

我们访谈了100例慢性荨麻疹患者。女性占主导(86%),平均年龄41.8岁,平均病程6年,82%的患者出现血管性水肿。平均DLQI评分为13.5,表明对生活质量有严重影响,高于麻风病、银屑病、特应性皮炎和基底细胞癌。血管性水肿的存在与较高评分相关:14.5对9.9(p<0.01)。女性患者报告对穿着影响更大,而男性患者报告治疗对工作和学习有干扰(p<0.05)。

结论

在巴西一家大学医疗机构接受评估的患者中,慢性荨麻疹严重损害了患者的生活质量,尤其是有血管性水肿的患者。

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