气象环境预警预报技术对哮喘儿童生命质量干预的研究  

Effect of meteorological environment warning forecast technology on quality of life in children with asthma

作　　者：张静[1] 邬宇芬[1] 袁姝华[1] 殷勇[1] 王薇[1] 张磊[1] 刘世建[2] 江帆[1,3] 彭丽 花静 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心呼吸科,上海200127 [2]上海交通大学医学院附属上海儿童医学中心转化研究所,上海200127 [3]教育部-上海市环境与儿童健康重点实验室,上海200092 [4]上海市浦东新区气象局,上海200135

出　　处：《中国实用儿科杂志》2013年第3期189-194,共6页Chinese Journal of Practical Pediatrics

基　　金：上海市科委生物医药处重大项目子课题(NO.10231203903);上海市科委课题(NO.10DZ1951000);上海市卫生局基金(NO.114370);上海交通大学医学院基金(NO.11XJ21028)

摘　　要：目的探究采用气象环境预警预报技术对哮喘儿童进行干预后，哮喘儿童症状及生活质量变化。方法2011年1月至2011年12月社区招募哮喘儿童166例，年龄2～12岁，共分为两组，气象环境预警预报技术干预组80例和对照组86例。最终完成随访过程的干预组与对照组分别是71例和63例，两组同时使用儿童哮喘控制问卷和儿童生存质量量表在干预前后进行评估；其中干预组接受为期3个月的儿童支气管哮喘城市宏观环境干预，主要以短信和邮件形式每日向家长发送预防服务指引。结果干预组与对照组儿童的一般情况除家庭结构外差异无统计学意义（P〉0．05）。气象环境预警预报技术对改善哮喘儿童的生理功能，情感功能及学校表现方面差异有统计学意义（P〈0．05）；多元回归分析显示该技术对改善儿童哮喘控制问卷评分（C—ACT评分）差异无统计学意义（F=0．263，P=0．610）。结论运用气象环境预警预报技术发送预警信息，告知哮喘发作的风险，予以适当防护，有效改善患儿的生理功能，提高生命质量。Objective To explore the effect of meteorological environment warning forecast technology intervention on the symptoms and quality of life in asthmatic children. Method A total of one hundred and sixty six children with asthma, aged 2-12,were recruited from the community in Shanghai from Jan. 2011 to Dec. 2011. They were divided into 2 groups, intervention group （n = 80） and matched control group （n = 86）. Finally, 71 cases in intervention group and 63 cases in control group finished the follow-up process completely. Children-the Asthma Control Test （C-ACT） and Pediatric Quality of Life Inventory were done before and after intervention in both groups. The intervention group accepted meteorological environment warning forecast technology intervention by short message service and E-mail everyday for 3 months. Results There was no significant difference between the intervention group and the control group in the general condition except the family structure （P 〉 0.05）. The meteorological environment warning forecast technology intervention increased the physiological function, emotional function and school performance of the intervention group （P〈0.05） ; A multivariate logistic regression model showed there was no significant difference of C-ACT score （F = 0.263,P = 0.610） in the two groups. Conclusion Asthmatic children are told the risk of asthma attacks and receive appropriate protection by using meteorological environment warning forecast technology. It can prevent asthma acute attack, alleviate the symptoms and improve physiological function and the quality of life.

关 键 词：哮喘 气象环境 儿童 哮喘控制问卷 儿童生存质量量表 

分 类 号：R72[医药卫生—儿科]