摘要
目的探讨中国儿童哮喘行动计划(CCAAP)在6岁以上哮喘儿童管理中的应用价值。方法选取2018年12月至2019年12月我院儿童哮喘标准化门诊就诊的6~14岁哮喘患儿为研究对象,对所有入选哮喘患儿,详细询问病史,记录过去6月的病情,完善相关检查,建立哮喘档案,除常规治疗以外,给予纸质版CCAAP和简易峰流速仪,医生在门诊对每位患儿及家长按照CCAAP进行一对一精准宣教干预治疗,定期门诊随访,进行肺功能测定、哮喘控制水平评估及对哮喘行动计划进行调整,总观察时间为6月,比较患儿干预治疗前后哮喘发作情况,哮喘控制情况及肺功能改善情况。结果共纳入65名6~14岁哮喘儿童,男36例,女29例,平均年龄(8.6±1.1)岁,经CCAAP一对一精准宣教干预治疗后6月哮喘急性发作急诊就诊次数,住院次数,使用支气管扩张剂次数,使用全身糖皮质激素天数,误课请假天数均较干预治疗前6月明显减少,差异具有统计学意义(P<0.05)。干预治疗后3月、6月随诊时哮喘控制率分别为87.7%和93.8%,较干预前明显改善,差异具有统计学意义(P<0.05)。干预治疗后第3月、6月随诊时肺功能监测指标较干预治疗前明显改善,差异均有统计学意义(P<0.05)。结论CCAAP做为一种哮喘自我管理工具,有助于儿童哮喘慢性疾病的长期管理,值得临床推广应用。
Objective To evaluate the value of China Children Asthma Action Plan(CCAAP)in management of asthmatic children aged over 6 years old.Methods The study enrolled asthmatic children aged 6-14 years old visiting the Sandardized Child Asthma Clinic in our hospital from December 2018 to December 2019.For all selected children,their medical history in detail and the condition of the past 6 months were recorded,the relevant examination was perfected,their asthma file was established,and the written CAAAP and the Simple Peak Velometer in addition to the routine treatment were given.Doctor performed one-to-one accurate education intervention for each child and parent according to the CAAAP,and they were followed up regularly at the outpatient clinic.Their lung function and asthma control level were tested and asthma action plans were adjusted according to the condition.The total observation time was 6 months,and their asthma attack,control and pulmonary function improvement were compared before and after CAAAP intervention.Results A total of 65 asthmatic children,including 36 boys and 29 girls were included,and the average age was 8.6±1.1 years old.The number of emergency visits,hospitalization,bronchodilators using,systemic corticosteroids using days and days of absence were reduced after using CAAAP,and there was statistical significance(P<0.05).The asthma control rate was 87.7%in 3 months and 93.8%in 6 months after using CAAAP intervention,which was significantly better than before using CAAAP(P<0.05).After the intervention treatment,the pulmonary function monitoring index was significantly improved during the 3-month and 6-month follow-up,the difference was statistically significant(P<0.05).Conclusion As an asthma self-management tool,CAAAP is helpful to the long-term management of chronic asthma diseases in children and is worthy of clinical application.
作者
萨日娜
王蕊
王雨朦
赵学军
李晓安
王爱琼
SA Ri-na;WANG Rui;WANG Yu-meng;ZHAO Xue-jun;LI Xiao-an;WANG Ai-qiong(Department of Pediatrics,Ordos Central Hospital,Ordos,Inner Mongolia 017000,China)
出处
《临床肺科杂志》
2021年第10期1481-1485,共5页
Journal of Clinical Pulmonary Medicine
关键词
哮喘行动计划
哮喘
管理
儿童
asthma action plan
asthma
management
children
