儿童哮喘控制测试在哮喘规范化管理中的作用  

Application of children asthma control test in children asthma standardized management

作　　者：王鑫[1] 马春艳[1] 张亚京[1] 周芳[1] 宁立华[1] 陈华[1] 

机构地区：[1]内蒙古医学院第三附属医院儿科,内蒙古包头014010

出　　处：《中国冶金工业医学杂志》2012年第5期506-508,共3页Chinese Medical Journal of Metallurgical industry

摘　　要：目的探讨儿童哮喘控制测试(C-ACT)在儿童哮喘规范化管理中的作用。方法选择2010年6月至2011年6月本院儿科门诊就诊及住院的支气管哮喘患儿77例,采用随机、开放、平行对照研究方法,分为管理组39例,对照组38例,均进行哮喘防治知识教育,填写儿童哮喘控制测试并做肺功能检查,制定个体化治疗方案。管理组每两周填写一次C-ACT,定期规律随访,C-ACT评分≤19分及时就诊;对照组未使用C-ACT监测病情变化,随诊不规律。两组入选患儿均在治疗6个月后再次填写C-ACT,同时做肺功能检查。记录6个月内急诊次数,缺勤天数,治疗费用。并进行哮喘控制评估。结果管理组与对照组在治疗前C-ACT测试得分差异无统计学意义(P>0.05);治疗后两组得分与初诊时比较均有显著提高(P<0.01);管理组治疗后C-ACT测试得分以及管理前后得分增加值均显著高于对照组(P<0.05);两组患儿管理前后肺功能增加值比较差异有统计学意义(P<0.05);管理组急诊次数、缺勤天数及治疗费用与对照组比较均差异有统计学意义(P<0.05)。结论在儿童哮喘规范化管理中,应用C-ACT可以为临床提供简单、有效,较准确的评估哮喘控制的方法,是改善哮喘管理质量的新工具。Objective To evaluated the application of children asthma control test （C-ACT）in the management of patients with children asthma. Methods In randomized,open,paralled-group trail,77 cases of children asthma were divided into management group（39 cases） and control group（38 cases）, all asthmatic patients were enrolled in the C-ACT trail , were performed pulmonary function and were formulated individualization of treatment plan. management group were enrolled in the C-ACT trail every two weeks, see a doctor when C-ACT≤ 19;control group were not enrolled in the C-ACT. All asthmatic patients were enrolled in the C-ACT trail and were performed pulmonary function in beginning and after 6 months, the emergency treatment and absente days and hospital expenses were observed. Results The results illustrate that C-ACT scores was not significantly （P〉0.05）in the beginning of management group and control group, hut in the both groups, it there were significantly higher posttreatment campared with beginning （P〈0. 01） ;management group that C-ACT scores and C-ACT increased scores was significant higher than control group in posttreatment （P〈0. 05）;C-ACT scores were correlated with FEV1% （P〈0.05）, the results illustrate that the emergency treatment and absente days and hospital expenses were significantly （P〈0. 05）in the beginning of management group and control group. Conclusion C-ACT was an effective method to assess cure efficacy in standardized management of as children athmatic patients.

关 键 词：哮喘 C-ACT 儿童 

分 类 号：R725.6[医药卫生—儿科]