儿童哮喘控制测试与肺功能检测在哮喘管理中的应用  

The role of Childhood Asthma Control Test and pulmonary function testing in asthma management

作　　者：王斌[1] 王成秀[1] 唐晓燕[1] 

机构地区：[1]重庆市第五人民医院儿科,重庆400062

出　　处：《西部医学》2013年第7期1023-1024,共2页Medical Journal of West China

摘　　要：目的探讨儿童哮喘控制测试(C-ACT)与肺功能检测在中国儿童哮喘管理中的应用价值。方法对急性发作期83例哮喘患儿于治疗前、治疗后1个月、3个月时进行肺功能检测,测定PEF、FEV1,并同时进行C-ACT评分。观察入选时和治疗1个月、3个月结束时的C-ACT评分和肺功能的变化。结果在治疗后1个月及3个月时,C–ACT评分及PEF、FEV1较治疗前均有明显提高,差异有统计学意义(均P<0.01)。治疗后1个月时哮喘患儿完全控制43例(51.8%);治疗后3个月时,哮喘患儿完全控制72例(86.7%)。C-ACT评分与肺功能检查指标PEF、FEV1具有良好的相关性。结论 C-ACT简便易行,可作为哮喘专科门诊筛查哮喘是否控制的可行方法,肺功能检测是指导儿童哮喘正确用药的主要依据。Objective To study the value of clinical application of Childhood-Asthma Control Test（C-ACT） and pulmonary function test（PFT） in children patients with asthma.Metholds Totally 83 asthmatic children at the acute episode were given C-ACT score and PET including maximal expiratory flow（PEF） FEV1 after treatment.Results The symptoms were controlled in 56 after 1 month and in 84 after 3 months.C–ACT scores,PEF and FEV1 at post – treatment foor 1 month and 3 months were significantly improved compared with pre–treatment.The differences were statistically significant（P〈0.01）.C–ACT values were correlated with Pulmonary function test results.Conclusion C–ACT sores as a simple,safe and effective way can be promoted to pediatric asthma control.Pulmonary Function testing is mainly based on the guidance of management of asthma.

关 键 词：哮喘 肺功能 儿童哮喘控制测试 哮喘管理 

分 类 号：R725.6[医药卫生—儿科]