摘要
目的探讨规范化管理治疗对儿童哮喘肺功能的影响。方法填写社区哮喘患儿健康管理档案61份,采用随机数字表分为两组,规范化管理治疗组33例和对照组28例,对管理组患儿家长和学龄患儿进行哮喘及其药物基本知识教育,并根据病情按全球哮喘防治创议(GINA)方案制定相应的阶梯式治疗措施,定期随访,适时升级或降级治疗。对照组不进行定期随访,治疗上自行决定。观察1年,对两组治疗前后临床疗效及肺功能进行比较。结果经过1年管理治疗,管理组治疗效果明显优于对照组(χ2=7.31,P<0.05);管理组患儿肺功能最大呼气流速峰值(PEF)和第1秒时间肺活量(FEV1)升高,与对照组比较差异有统计学意义(P<0.05),对照组观察前后各项指标比较差异无统计学意义(P>0.05);管理组规范治疗12个月较6个月肺功能恢复好,年龄大于9岁、病程大于60个月者,肺功能恢复慢。管理组哮喘发作次数、门诊次数较观察前明显减少(P<0.05)。结论通过对哮喘儿童进行规范化管理治疗,哮喘急性发作及门诊治疗次数减少,肺功能显著改善,且治疗时间越长,肺功能恢复越好,年龄大,病程长,肺功能恢复慢。
Objective To investiget the effects of the standardized management treatment on the lung function in asthmatic chil- dren. Methods We built 61 medical records of asthmatic children in the community and divided them into two groups randomly. 33 cases were in the standardized management group and the orther cases were in the control group（28 cases）. In the management group, the patients and their parents were thaught with the knowledge about asthma and the medicines of asthma treatment. The es- calation therapy was made for different states of the illness according to the GINA. And they were followed-up regularly and adjus- ted upgrade or downgrade the treatment on time. In non-management group,they were not followed-up,their treatment was deter- mined on their parents. The clinical effects and the lung function of the two groups were compared after one year. Results The clin- ical effects of the standardized management group were better than those of the non-management group（X^2 = 7.31, P〈0.05）. FEV1 and PEF were risen and the differences were statistically significant in comparison with the non-management group after 1 year（P〉 0.05）. And these indexes had no significant differences in the control group（P〉0.05）. The lung function of the standardized man- age.nent group reco-（ered better in 12 months than in 6 months. If asthmatic children were older than 9 years and the asthma dura- tion more than sixty months,their lung function recoverd slowly. The frequencies of acute attack and the times going to hospital of the standardized management group were reduced obviously（P〈0.05）. Conclusion With the standardized management treatment of asthmatic children, the frequencies of acute attack and emergency department visit are reduced,the lung function is improved ob- viously. And the longer they are treated, the better their lung function recovers. The older and the longer asthma duration they are, the more slowly their lung function recovers.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第16期1579-1581,共3页
Chongqing medicine
基金
国家十一五科技计划课题资助项目(2007124B05)
重庆市建委科技计划项目(城科字2009第131号)
关键词
哮喘
疾病管理
儿童
肺功能
asthma
disease management
child
lung function
