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多参数指数评分系统通过对慢性阻塞性肺疾病(COPD)患者进行多方面评分,可以预测患的一般健康状况、恶化风险以及死亡风险,为临床医师调整治疗方案提供一定的参考价值。目前最常见的多参数评分系统有DOSE指数、BODE指数和ADO指数。DOSE指数包括呼吸困难程度、气流受限程度、目前吸烟状态以及年恶化次数的评分;BODE指数包括体重指数、气流受限程度、呼吸困难程度及6分钟步行试验的评分。ADO指数包括年龄、呼吸困难程度及气流受限程度的评分。本文对上述评分系统的应用情况进行了综述。
The multi-parameter index scoring system can predict the general health status, the risk of exacerbation and the risk of death of patients with chronic obstructive pulmonary disease (COPD), and provide some reference value for clinicians to adjust the treatment plan. Currently the most common multi-parameter scoring system has DOSE index, BODE index and ADO index. The DOSE index included the degree of dyspnea, airflow limitation, current smoking status and the number of years of deterioration; the BODE index included body mass index, airflow limitation, degree of dyspnea, and a 6-minute walk test score. The ADO index includes age, difficulty breathing, and airflow limitation. This article reviews the application of the above scoring system.