使用慢性阻塞性肺病患者的坐立测试的功能能力及其与疾病严重程度的关系 - 一项与匹配的对照进行横截面研究
Ana Machado1, Cíntia Dias2, Patrícia Rebelo3
1Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal; Department of Medical Sciences, University of Aveiro, Aveiro, Portugal; Rehabilitation Research Center (REVAL), Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium; Biomedical Research Institute (BIOMED), Hasselt University, Diepenbeek, Belgium.
慢性阻塞性肺病 (COPD) 显著降低了功能能力,影响了23-33%的患者. 这种损伤存在于所有疾病严重程度,需要进行全面的评估和管理.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 老年医学 老年医学
背景情况:
- 功能能力受损是慢性阻塞性肺病 (COPD) 的一个重要后果.
- 患病率,与疾病严重程度的关系以及与这种损伤相关的患者特征以前是未知的.
- 简单的测试,如坐立评估,可以识别功能限制.
研究的目的:
- 研究被诊断患有COPD的个体的功能能力.
- 为了确定COPD患者功能障碍的患病率.
- 为了比较COPD患者与不同疾病严重程度的健康对照者的功能能力.
主要方法:
- 一项横截面研究将302名COPD患者与304名年龄和性别匹配的健康对照人进行了比较.
- 用5次重复 (5-STS) 和1分钟 (1-minSTS) 坐立测试来评估功能能力.
- 慢性阻塞性肺病患者根据全球慢性阻塞性肺病倡议 (GOLD) 严重程度分类进行分类.
主要成果:
- 23%的COPD患者在5-STS测试中表现出损伤,而在1-minSTS测试中则为33%.
- 与健康对照人群相比,所有GOLD分类中的COPD患者的功能能力显著降低.
- 功能能力和症状,肌肉力量和生活质量之间的相关性通常很弱.
结论:
- 患有COPD的个人始终表现出功能能力下降,无论他们的GOLD分类如何.
- 在COPD中,功能障碍的患病率在23%至33%之间.
- 功能能力受损是一种可治疗的疾病,需要专门的评估和管理策略,而不仅仅是标准的结果措施.
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