<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2026010037</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>尘肺病患者生活质量量表中文版SGRQ-I最小临床
重要性差值的确定</title><url>https://artdesignp.com/journal/MRP/4/1/10.61369/MRP.2026010037</url><author>汤春宜,邱新香,温绿琴,曾子芳,叶蔚舒,张婷</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>4</volume><issue>1</issue><history><date date-type="pub"><published-time>2026-01-20</published-time></date></history><abstract>目的 确定中文版特发性肺纤维化版圣乔治呼吸问卷（SGRQ-I）评估尘肺病患者生活质量的最小临床重要性差值（MCID）。方法 以临床总体印象改善量表（CGI-I）为锚点，计算尘肺病患者入院当天和出院当天中文版SGRQ-I总体得分和各维度得分差值，通过锚定法和分布法相结合的方式确定尘肺病患者中文版SGRQ-I量表总分及各维度得分的MCID。结果 尘肺病患者中文版SGRQ-I的总分MCID为6-11分，其中轻度改善对应的MCID为6-9分，明显改善对应的MCID为10-15分，显著改善对应的MCID为16-19分；症状维度MCID为4-7分、活动维度MCID为5-7分、影响维度MCID为4-6分。结论 可联合使用以CGI-I为锚点的锚定法和分布法，确定尘肺病患者中文版SGRQ-I的MCID。</abstract><keywords>尘肺病,生活质量,特发性肺纤维化版圣乔治呼吸问卷（SGRQ-I）,最小临床重要性差值（MCID）</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]毛翎,彭莉君,王焕强,等.尘肺病治疗中国专家共识（2024年版）[J].环境与职业医学,2024,41(01):1-21.[2]刘瑶.尘肺病住院患者生活质量评估及其WHOQOL-BREF最小临床重要性差值确定[D].昆明医科大学,2024.[3] Yorke J,Jones PW,Swigris JJ.Development and validity testing of an IPF-specific version of the St George&amp;rsquo;s Respiratory Questionnaire. Thorax. 2010 Oct;65(10):921-926.[4] Park JH,Lee HJ,Rhee CK,et al.Validation of the modified BODE index using the activity domain of St George&amp;rsquo;s Respiratory Questionnaire. ERJ Open Res. 2025 Oct 20;11(5):01239-2024.[5] Prior TS,Hoyer N,Shaker SB,et al.Validation of the IPF-specific version of St. George&amp;rsquo;s Respiratory Questionnaire. Respir Res. 2019 Aug 28;20(1):199.[6]李智慧.SGRQ-I量表信度效度及反应度的检验[D].河南中医药大学,2023.[7] Development and refine ment of the Clinical Global Impression of Improvement for Non-seiz-ure Symptoms measure in Dravet syndrome and Lennox-Gastaut syndrome. [J].Journal of patient- reported outcomes,2025,9(1):24.[8]Andrews JS,Shah D,Nacson A,et al.Development and refinement of the Clinical Global Impre-ssion of Improvement for Non-seizure Symptoms measure in Dravet syndrome and Lennox-Gast-aut syndrome.J Patient Rep Outcomes.2025 Feb 21;9(1):24.[8]李美晨,温泽淮,周莉.基于锚定法的患者报告结局最小重要性差值可信度评价工具的介绍[J].中国循证医学杂志,2025,25(08):979-986.[9]欧金清,雷平光,刘欢婷,等.基于效标法与分布法的消化性溃疡生命质量测定量表的最小临床重要性差值制定与评估[J].现代预防医学,2024,51(16):2898-2902.[10]李菲,刘钰曦,万崇华,等.基于效标法与分布法的头颈癌生命质量量表最小临床重要性差值制定与评估[J].中华肿瘤防治杂志,2021,28(20):1568-1572.[11]薛红红,杨铮,万崇华,等.基于量表得分的最小临床重要性差值(MCID)制定方法[J].中国卫生统计,2019, 36 (03): 436-440.[12]陈媛玲,李瑞雨,宋静,等.基于PROISCD-GM(V1.0)慢性胃炎患者最小临床重要性差值的制定[J].广东医学,2024,45(02):171-176.[13]薛红红,杨铮,万崇华,等.基于量表得分的最小临床重要性差值(MCID)制定方法[J].中国卫生统计,2019,36(03):436-440.[14]王石艳,杨杭,高真真,等.脑卒中恢复期患者Fugl-Meyer下肢运动评估的最小临床重要性差值分析[J].浙江临床医学,2023,25(02):207-209.[15]杨玉丽,井明霞,胡欣,等.基于宫颈癌前病变患者的癌症治疗功能评价系统-共性模块量表最小临床重要性差值的影响因素研究[J].中国全科医学,2023,26(17):2108-2113+2119.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
