视觉近似评价标尺在儿童哮喘中的应用  

The application of visual analog scale in children with bronchial asthma

作　　者：赵建琴[1] 邵洁[1] 钟文伟[1] 罗海燕[1] 王蓓蓓[1] 李云珠[1] 俞善昌[1] 

机构地区：[1]上海第二医科大学附属瑞金医院儿科,200025

出　　处：《上海医学》2005年第8期647-649,共3页Shanghai Medical Journal

摘　　要：目的介绍和评价视觉近似评价标尺(VAS)评分在儿童支气管哮喘中的应用方法和价值.方法对67例6～14岁的支气管哮喘患儿进行规范化吸入治疗前、后的自身对照,观察哮喘症状评分、VAS评分、最大呼气峰流速(PEF)及早、晚PEF测定.结果治疗后6周与12周哮喘患儿的哮喘症状评分中位数比较,差异有显著性(P＜0.05);治疗后4周与12周哮喘患儿VAS评分中位数比较,差异有显著性(P＜0.05);治疗后6周与12周PEF均数值比较,差异有显著性(P＜0.05);治疗后3周PEF变异率明显下降(P＜0.05).VAS评分与哮喘症状评分、PEF值有显著相关性.结论VAS评分法简单易行、实用方便、相对较客观且敏感,与临床症状评分有一致性,可作为哮喘患儿症状评价的一种方法和指标.Objective To introduce and evaluate the visual analog scale （VAS） method and its value in children with bronchical asthma. Methods A self-control study before and after inhalation treatment was carried out in 67 asthmatic children between the age of 6 and 14 years. Clinical observations included asthmatic symptom scores, VAS, peak expiratory flow （PEF） and peak expiratory flow rate （PEFR）. Results After treated for 6 and 12 weeks, the asthmatic symptom scores showed significant difference（P〈0.05）; VAS showed significant difference（P〈0.05） between 4 weeks and 12 weeks; PEF showed significant difference（P〈0.05） between 6 weeks and 12 weeks; the PEF variance rate was reduced significantly（P〈0.05）. There were close correlativity among the three. Conclusions VAS is simple, useful, objective and sensitive. It is consistent with the clinical symptom scores. It could be an evaluative method as well as an index for children with bronchical asthma. （Shanghai Med J, 2005, 28：647-649）

关 键 词：支气管哮喘 哮喘症状评分 视觉近似评价标尺评分 最大呼气峰流速 儿童哮喘 评价标尺 视觉 儿童支气管哮喘 VAS评分 症状评分 

分 类 号：R725.6[医药卫生—儿科] R172[医药卫生—临床医学]