哮喘控制测试与最大呼气峰流速在哮喘患儿治疗中的作用

The Efficacy of Asthma Control Test and Peak Expiratory Flow in Children with Asthma

目的观察支气管哮喘（哮喘）控制测试（asthma control test,ACT）与最大呼气峰流速（PEF）在儿童哮喘缓解期阶梯治疗中的作用。方法选择2008年12月至2010年12月重庆市第五人民医院儿科院门诊就诊的哮喘患儿83例,按全球哮喘防治创议（GINA）治疗规范进行缓解期的阶梯治疗,评价儿童哮喘控制率。结果哮喘控制率为93.5%;ACT评分小于20分与20~25分、PEF占个人预计值的百分比（PEF-pred%）〈80%与大于或等于80%差异均有统计学意义（P〈0.05）。ACT评分与PEF-pred%具有线性相关关系（r=0.147）。结论 ACT评分与患儿的PEF具有良好的相关性,均可用于哮喘的评价,指导阶梯治疗。ACT和PEF联合使用评估哮喘控制率优于单独使用。

Objective To observe the efficacy of asthma control test（ACT） and peak expiratory flow（PEF） in children with asthma.Methods 83 children were involved.All patients were treated according to GINA treatment guidelines.The asthma control was evaluated.Results the asthma control is 93.5%.Comparison of ACT scores,PEF-pred%80% were also different from PEF-pred%≥80%（P0.05）.There is a lineation relationship between ACT score and PEF-pred%,the correlation coefficient is r=0.147.Conclusion The results of ACT scores and PEF in children with asthma have a good comelation,both of the two measures can be used to evaluated the athma and guide the creatmene.The efficacy of ACT scores combined PEF-pred% was better than alone.