“互联网+”全病程管理用于儿童支气管哮喘缓解期的效果  

Effect of"Internet+"whole course management on remission stage of bronchial asthma in children

作　　者：梅玲华 贺兆平 曹珍珍 马宁 高晶晶 孙婕 MEI Linghua;HE Zhaoping;CAO Zhenzhen;MA Ning;GAO Jingjing;SUN Jie(Pediatrics Department,Yulin Hospital,the First Affiliated Hospital of Xi'an Jiaotong University,Yulin 719000,China)

机构地区：[1]西安交通大学第一附属医院榆林医院儿科,陕西榆林719000

出　　处：《临床医学研究与实践》2025年第8期49-52,57,共5页Clinical Research and Practice

基　　金：榆林市科协青年人才托举计划项目(No.20200223)。

摘　　要：目的探讨“互联网+”全病程管理用于儿童支气管哮喘(简称哮喘)缓解期的效果。方法选取2020年2月至2022年6月在我院儿童哮喘专科门诊就诊的360例哮喘缓解期患儿为研究对象,随机将其分为对照组和研究组,各180例。对照组采用传统管理模式,研究组在对照组基础上加用“互联网+”全病程管理。比较两组的应用效果。结果研究组的急性发作次数、治疗费用低于对照组,哮喘知识掌握程度、治疗依从性、家长满意度评分及复诊率、哮喘控制率高于对照组(P<0.05)。研究组家长的各项哮喘相关知识认知水平均高于对照组(P<0.05)。干预后,两组的第1秒用力呼吸容积/用力肺活量(FEV_(1)/FVC)、呼气峰值流速占预计值百分比(PEF%)、25%用力肺活量时呼气流速(FEF25%)、50%用力肺活量时呼气流速(FEF50%)及75%用力肺活量时呼气流速(FEF75%)均高于干预前,且研究组高于对照组(P<0.05)。干预后,研究组的呼出气一氧化氮(FeNO)、总免疫球蛋白E(IgE)及外周血嗜酸性粒细胞百分率(EOS%)低于对照组(P<0.05)。结论“互联网+”全病程管理可减少哮喘患儿急性发作次数,提高哮喘控制效果,改善肺功能指标及实验室指标水平,提升家长满意度及患儿治疗依从性。Objective To explore the effect of"Internet+"whole course management on remission stage of bronchial asthma(asthma)in children.Methods A total of 360 children with asthma in remission stage who were treated in the pediatric asthma clinic of our hospital from February 2020 to June 2022 were selected as the research objects and randomly divided into control group and study group,with 180 cases in each group.The control group adopted the traditional management mode,and the study group added"Internet+"whole course management on the basis of the control group.The application effects of the two groups were compared.Results The number of acute attacks and treatment costs in the study group were lower than those in the control group,the mastery of asthma knowledge,treatment compliance,parental satisfaction scores,follow-up rate and asthma control rate were higher than those in the control group(P<0.05).The cognitive levels of asthma-related knowledge of parents in the study group were higher than those in the control group(P<0.05).After intervention,the forced expiratory volume in one second/forced vital capacity(FEV_(1)/FVC),percentage of peak expiratory flow rate in the predicted value(PEF%),maximal expiratory flow in 25%vital capacity(FEF25%),maximal expiratory flow in 50%vital capacity(FEF50%)and maximal expiratory flow in 75%vital capacity(FEF75%)of the two groups were higher than those before intervention,and those of the study group were higher than the control group(P<0.05).After intervention,the fraction of exhaled nitric oxide(FeNO),total immunoglobulin E(IgE)and peripheral blood eosinophil percentage(EOS%)in the study group were lower than those in the control group(P<0.05).Conclusion"Internet+"whole course management can reduce the number of emergency attacks in children with asthma,improve the control effect of asthma,ameliorate the level of lung function indexes and laboratory indexes,and improve the satisfaction of parents and the treatment compliance of children.

关 键 词：儿童 支气管哮喘 “互联网+”全病程管理 

分 类 号：R562.25[医药卫生—呼吸系统]