Pearce S J, Posner V, Robinson A J, Barton J R, Cotes J E
Thorax. 1985 Nov;40(11):828-31. doi: 10.1136/thx.40.11.828.
Hospital discharges and deaths attributed to chronic bronchitis and emphysema have fallen in recent years while the number of those receiving invalidity benefit for these conditions has remained constant. One hundred and fifty seven such persons were invited to take part in this study, in which the diagnosis, degree of respiratory impairment, and other factors contributing to disability were reviewed. The scope for rehabilitation was considered. One hundred subjects agreed to take part; 96 were men and 70 were over 60 years. In only 67 was the main diagnosis chronic bronchitis and emphysema. There was a bimodal distribution of functional impairment, most being severely disabled, but in 20 the FEV1 was within the normal range. Among these asthma was more common and psychological factors were important. Economic factors contributed to "invalidity," especially among those with a normal FEV1. For 32 of the 57 who had declined to take part some information was available from hospital records. The findings in this group were similar. There was little scope for rehabilitation in the group as a whole as motivation was poor. Less than half had ever seen a chest physician. Specialist assessment before invalidity benefit is claimed is probably desirable.
近年来，因慢性支气管炎和肺气肿导致的住院出院人数及死亡人数有所下降，而因这些病症领取病残津贴的人数却保持稳定。157名此类患者受邀参与本研究，研究对其诊断、呼吸功能损害程度以及导致残疾的其他因素进行了复查，并探讨了康复的可能性。100名受试者同意参与；其中96名男性，70名年龄超过60岁。仅67名受试者的主要诊断为慢性支气管炎和肺气肿。功能损害呈双峰分布，多数受试者残疾严重，但20名受试者的第一秒用力呼气容积（FEV1）在正常范围内。在这些人中，哮喘更为常见，心理因素也很重要。经济因素导致了“病残”，在FEV1正常的人群中尤为明显。在拒绝参与的57人中，有32人的部分信息可从医院记录中获取。该组的研究结果相似。由于积极性不高，整个组的康复空间很小。不到一半的人曾看过胸科医生。在申请病残津贴之前进行专科评估可能是可取的。
