ACT在哮喘专病门诊患者长期管理中的应用  

Application of ACT in long-term management of patients in asthma specialist outpatient clinic

作　　者：黄莉 陈燕如[1,2] 洪静宜 陈春婵 

机构地区：[1]深圳市人民医院 [2]暨南大学第二临床医学院,广东深圳518020

出　　处：《中国医药科学》2013年第18期11-12,18,共3页China Medicine And Pharmacy

基　　金：广东省深圳市科技计划项目(201003018)

摘　　要：目的分析哮喘控制测试（ACT）在哮喘专病门诊患者长期管理中治疗效果的影响。方法收集2009年6月～2013年3月笔者所在医院哮喘专病门诊接诊的哮喘患者419例，随机分为观察组209例，对照组210例，均进行规范治疗及肺功能检测，观察组给予ACT，6个月后对两组患者进行治疗效果的评价。结果观察组治疗后的肺功能指标均明显优于对照组，且较治疗前显著改善，ACT评分较治疗前升高明显，差异均有统计学意义（P〈0．05）。观察组ACT显示，完全控制101例（48．32％），部分控制105例（50．24％），未控制3例（1．44％）。观察组患者用药依从性良好有173例（82．8％），对照组有93例（44．3％），观察组患者用药依从性优于对照组（P〈0．05）。结论ACT指导哮喘治疗效果显著，能提高患者哮喘控制率和依从性，值得推广应用。Objective To analyze the effect of asthma control test （ACT） in long-term management of patients in asthma specialist outpatient clinic. Methods 419 asthma patients in asthma specialist outpatient clinic of our hospital from June 2009 to March 2013 were collected, and randomly divided into the observation group in 209 cases and the control group in 210 cases. The patients were given normative treatment and pulmonary function testing, and the observation group was given ACT on this basis. The effect of two groups was evaluated after 6 months of treatment. Results The pulmonary function indexes of the observation group after the treatment were significantly better than those of the control group, and improved more significant than those before the treatment, and ACT score after the treatment increased more significant than that before the treatment, the differences were statistically significant（P 〈： 0.05）. The ACT of the observation group shdwed that complete control in 101 cases （48.32%）, partial control in 105 cases （50.24%） and uncontrol in 3 cases （1.44%）. The good compliance of the observation group were 173 cases（82.8%）, the control group were 93 cases（44.3%）, the compliance of the observation group was better than that of the control group（P 〈 0.05）. Conclusion ACT guidance for asthma treatment has significant effect, and can improve asthma control rate and compliance, and it is worthy of popularization and application.

关 键 词：哮喘 哮喘控制测试 影响 肺功能 

分 类 号：R562.2[医药卫生—呼吸系统]