运动在儿童哮喘管理中的作用  

Role of exercise in asthma management in children

作　　者：程波利[1] 黄英[2] 

机构地区：[1]川北医学院附属医院儿科,四川南充637000 [2]重庆医科大学附属儿童医院呼吸中心,重庆400014

出　　处：《南方医科大学学报》2014年第1期75-78,共4页Journal of Southern Medical University

基　　金："十一五"国家科技支撑计划(2007BAI24B05);重庆市卫生局(2009-2-226)~~

摘　　要：目的了解运动在儿童哮喘管理中的作用，探讨适合我国儿童哮喘管理的初步运动处方。方法112例7-14岁哮喘患儿随机分为运动组（56例）和对照组（56例），运动组在给予药物治疗同时给予运动处方，对照组仅给予药物治疗，试验持续4个月。在人组后每日记录哮喘日记卡内容：早晚呼吸峰流、日间和夜间症状评分、β2受体激动剂使用频率、运动隋况及及其过程中出现哮喘相关症状情况。结果112例研究对象中，共107例完成试验。运动组日内PEF变异率自第13周开始持续低于对照组（P〈0．05）；运动组日间症状评分、夜间症状评分及应急用药量均显著小于对照组（均P〈0．05）；试验期间未发生严重不良事件。结论哮喘患儿进行4个月每周3d，每次持续20min以上的运动有益于其儿童哮喘控制，并且是安全的。Objective To study the role of exercise in asthma management in children and formulate exercise prescriptions for asthmatic children. Methods A total of 112 asthmatic children aged 7-14 years were randomized into control group （n=56, with medications only） and exercise group （n=56, with medications and exercise prescription） for a trial lasting for 4 months. An asthma diary was used for all children to record the morning and evening peak expiratory flow （PEF）, daytime and nighttime asthma symptom score, use of short-acting beta agonists, participation in physical activity, and exercise-induced asthma symptoms. Results Of the 112 children, 5 dropped out before the trial completion. From the 13th week, PEF variation in exercise group was significantly lowered compared to that in the control group （P〈0.05）. Upon the completion of the trial, the daytime and nighttime symptoms score and emergency medication score were all significantly lower in the exercise group than in the control group （P〈0.05）. No severe adverse events occurred in the children during the trial. Conclusion Exercise for no less than 20 min, 3 days a week for 4 months is safe and beneficial for asthma control in children.

关 键 词：哮喘 儿童 运动处方 哮喘管理 

分 类 号：R725.6[医药卫生—儿科]