中国儿童哮喘行动计划对学龄期哮喘儿童运动的影响  

Effect of China Children′s Asthma Action Plan on exercise in school-age children with bronchial asthma

作　　者：管仁政[1] 金蓉[1] 李蕾[1] 毛成刚[1] 王芳[1] 马慧[1] 郭兴青[1] 曲政海[1] 林荣军[1] Guan Renzheng;Jin Rong;Li Lei;Mao Chenggang;Wang Fang;Ma Hui;Guo Xingqing;Qu Zhenghai;Lin Rongjun(Department of Pediatrics,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院儿童医学中心,青岛266000

出　　处：《中华医学杂志》2022年第18期1379-1382,共4页National Medical Journal of China

基　　金：国家自然科学基金(81701587)。

摘　　要：目的探讨中国儿童哮喘行动计划(CCAAP)对学龄期哮喘儿童运动的影响。方法采用简单随机抽样法, 从2018年3月1日至2021年2月28日青岛大学附属医院儿科CCAAP哮喘管理平台抽取400例学龄期儿童哮喘患者为研究对象, 采用基本信息问卷和国际身体运动问卷, 通过微信或面对面调查收集对象的基本信息和运动情况, 最终将346份有效问卷纳入研究, 比较CCAAP应用良好组和不良组运动情况和运动相关哮喘样症状发生率的差异。结果 CCAAP应用良好和不良者分别为232(67.05%)和114(32.95%)例。CCAAP应用良好组年龄、女性比例和体质指数(BMI)分别为(8±2)岁、47.0%(109/232)和(19.79±2.32)kg/m^(2), 与CCAAP应用不良组[分别为(8±2)岁、46.5%(53/114)和(19.87±2.43 kg/m^(2))]差异均无统计学意义(均P>0.05)。CCAAP应用良好组每天中(高)强度运动达标率为30.18%(70/232), 与CCAAP应用不良组[29.82%(34/112)]差异无统计学意义(P=0.947);每周参加高强度运动达标率为31.90%(74/232), 高于CCAAP应用不良组[17.54%(20/112)](P=0.005);运动相关哮喘样症状发生率为19.83%(46/232), 低于CCAAP应用不良组[29.82%(34/112)](P=0.038)。结论 CCAAP可以促进学龄期哮喘儿童运动。Objective To investigate the effect of China Children′s Asthma Action Plan(CCAAP)on the exercise status of school-age children with asthma.Methods We included 400 school-age asthmatic children as research objects from CCAAP asthma management platform of the Affiliated Hospital of Qingdao University during March 1,2018 to February 28,2021 by simple random sampling method.The questionnaires of basic information and international physical activity were applied through WeChat or face to face investigation to collect the basic information and exercise status of the object.There were 346 valid questionnaires included in the study to compare the differences in exercise status and incidence of exercise-related asthma-like symptoms between the good and poor CCAAP application groups.Results There were 232(67.05%)and 114(32.95%)cases in good and poor CCAAP application group,respectively.Age,female proportion and BMI of good CCAAP application group were(8±2)years,47.0%(109/232)and(19.79±2.32)kg/m^(2),respectively,no statistic difference comparing to poor CCAAP application group[(8±2)years,46.5%(53/114)and(19.87±2.43)kg/m^(2),respectively](all P values>0.05).In good CCAAP application group,30.18%(70/232)achieved the standard of moderate(high)intensity exercise per day,no statistic difference comparing to poor CCAAP application group[29.82%(34/112)](P=0.947);31.90%(74/232)participated in high-intensity exercise per week,higher than that of poor CCAAP application group[17.54%(20/112)](P=0.005);incidence of exercise-related asthma-like symptoms was 19.83%(46/232),lower than that of poor CCAAP application group[29.82%(34/112)](P=0.038).Conclusion CCAAP promotes the exercise of school-age children with asthma.

关 键 词：哮喘 运动诱发性 疾病管理 运动 儿童 

分 类 号：R725.6[医药卫生—儿科]