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[采用荨麻疹活动评分评估慢性荨麻疹患儿的生活质量]

[ASSESSMENT OF QOL BY URTICARIA ACTIVITY SCORE IN PEDIATRIC PATIENTS WITH CHRONIC URTICARIA].

作者信息

Asaumi Tomoyuki, Iikura Katsuhito, Yanagida Noriyuki, Sato Sakura, Ebisawa Motohiro

机构信息

Department of Pediatrics, Sagamihara National Hospital.

出版信息

Arerugi. 2016 Feb;65(1):41-7. doi: 10.15036/arerugi.65.41.

Abstract

BACKGROUND

There is no standard for assessing pediatric chronic urticaria in Japan. UAS7, weekly total values of the Urticaria Activity Score (UAS), has correlation with Dermatology Life Quality Index (DLQI) which assesses Quality of Life (QOL). The current European Academy of Allergy and Clinical Immunology (EAACI) guidelines recommend assessing disease activity in chronic urticaria by using UAS. We translated UAS into Japanese version, and evaluated usefulness of UAS by comparing with QOL score.

METHODS

Subjects were 42 patients who had received treatments in our clinic from February to September in 2014. They wrote UAS at home. They wrote Children's Dermatology Life Quality Index (CDLQI) when they visited hospital. We assessed correlation UAS7 with CDLQI.

RESULTS

Male/Female ratio was 1:1. Median age was 7.5 years old. Duration of chronic urticaria was 5.5 months. Anti-histamine was used in 75%. UAS7 values reflected chronic urticaria patients' quality of life impairment. Change in UAS7 values reflected change in chronic urticaria patients' quality of life impairment.

CONCLUSION

UAS may be a useful tool for assessing QOL in pediatric patients with chronic urticaria.

摘要

背景

在日本,尚无评估儿童慢性荨麻疹的标准。荨麻疹活动度评分(UAS)的每周总值UAS7与评估生活质量(QOL)的皮肤病生活质量指数(DLQI)相关。当前欧洲变态反应与临床免疫学会(EAACI)指南建议使用UAS评估慢性荨麻疹的疾病活动度。我们将UAS翻译成日文版本,并通过与生活质量评分进行比较来评估UAS的实用性。

方法

研究对象为2014年2月至9月在我院接受治疗的42例患者。他们在家中记录UAS。就诊时记录儿童皮肤病生活质量指数(CDLQI)。我们评估了UAS7与CDLQI的相关性。

结果

男女比例为1:1。中位年龄为7.5岁。慢性荨麻疹病程为5.5个月。75%的患者使用了抗组胺药。UAS7值反映了慢性荨麻疹患者的生活质量受损情况。UAS7值的变化反映了慢性荨麻疹患者生活质量受损情况的变化。

结论

UAS可能是评估儿童慢性荨麻疹患者生活质量的有用工具。

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