355例哮喘患儿运动现况调查  

Physical activity in children with asthma: a cross-sectional investigation of 355 cases

作　　者：程波利[1] 黄英[1] 舒畅[1] 娄小丽[1] 李廷玉[1] 符州[1] 赵京[2] 

机构地区：[1]重庆医科大学附属儿童医院呼吸内科,重庆400014 [2]首都儿科研究所呼吸内科,北京100020

出　　处：《第三军医大学学报》2009年第20期2016-2018,共3页Journal of Third Military Medical University

基　　金："十一五"国家科技支撑计划(2007BAI24B05)~~

摘　　要：目的了解哮喘患儿参与运动的现状,为制定哮喘患儿适宜的运动处方提供依据。方法采用问卷形式,对2008年9-12月到我院哮喘中心就诊的7岁以上哮喘患儿进行调查。结果完成问卷调查355例。其中54.6%(194/355)的患儿认为运动会加重他们的哮喘;57.5%(204/355)的家长对患儿参加运动表现出担心;355例患儿中老师对他们患有哮喘知情的有222例,61.7%(137/222)的老师对哮喘患儿参加运动表现出担心;45.4%(161/355)的患儿在诊治中医生从未对如何参与运动进行过指导。调查患儿中65.6%(223/355)～89.6%(318/355)运动水平低于美国推荐的哮喘患者运动处方水平。在运动中出现过咳嗽、胸闷、呼吸困难、喘息者有77.7%(276/355),但有56.0%(199/355)只是偶尔出现以上症状。结论哮喘患儿参加运动普遍不足,急需提高患儿、家长、老师及医生对参加运动的认识,并制定适宜的运动处方。Objective To ascertain the present condition of children with asthma when taking part in sports in order to provide a basis for appropriate exercise prescription for these children. Methods A cross-sectional investigation was performed by questionnaire to asthmatic children over 7 years old who visited our asthma control center during September 2008 to December 2008. Results Totally 355 asthmatic children who completed the questionnaire were enrolled. After all data were statistically analyzed, we found that 54.6% （194/355） children thought that sports could make their asthma worse, and 57.5% （204/355） parents worried about their children joining in sports. For all of the 355 cases, 222 children’s teachers had a knowledge of their asthma, and 61.7% （137/222） teachers worried about these children when they took part in sports. There were 45.4% （161/355） doctors never gave advice to these children about exercise in addition. The workout of 65.6% （223/355） to 89.6% （318/355） children never reached the criterion of exercise prescription for patients with asthma advised by American. The percent of children who ever had cough, chest distress, dyspnea or gasp during exercise was 77.7% （276/355）, but 56.0% （199/355） appeared these symptoms occasionally. Conclusion The exercises of asthmatic children are generally not enough. The conception of children, parents, teachers and doctors is in urgent need to be updated. We need to give appropriate exercise prescription for children with asthma.

关 键 词：儿童 哮喘 问卷 运动 

分 类 号：R195.4[医药卫生—卫生统计学] R339.4[医药卫生—卫生事业管理]