儿童哮喘系统管理68例报告

A Report about the System Administration of 68 Cases in Children with Asthma

目的探讨应用全球哮喘防治创议(GINA)管理儿童哮喘的效果.方法对确诊为哮喘的68例管理组患儿实行专科病案管理、门诊治疗及定期防治知识学习班学习,以问卷调查、检测肺功能的最大呼气流速(PEF)评定疗效.结果管理组患儿在学习班前、后对10项知识问卷的认识差异有非常显著性意义(P＜0.01);对吸药技术的掌握,经3～4次指导后正确使用率由11.00%上升至74.00%～94.00%;管理组在治疗后1个月和6个月时PEF＞80%的率与对照组间差异有显著性意义(P＜0.01).结论有效的哮喘防治知识学习班是增加治疗依从性的必要形式,正确使用吸药装置、用峰流速仪监测PEF是保障疗效的重要环节.采用医院与家庭相结合的管理是长期控制儿童哮喘行之有效的模式.

Objective To explore the applied effect of Global Initiative for asthma （GINA） in children with asthma. Methods System administration, outpatient treatment and terminal courses on knowledge of prevention and cure were given to the example group which have 68 cases children with asthma who have been diagnosed asthma by specialized management. We assess the curative effect by using the questionnaire and testing the peak expiratory flow （PEF） of lung function. Results The knowledge on 10 questionnaires of the administration group children＇s after the courses is elevated significantly （ P 〈0. 01 ）. The correct rate of using suck drug technique is from 11.00% up to 74.00% - 94.00% after 3 - 4 time direct, and the rate of PEF 〉 80% of administration group during 1 month and 6 month after treatment is apparently higher than that of control group （ P 〈 0. 01 ）. Conclusion The course on the knowledge of prevention and cure of asthma is the necessary form increasing the compliance during treatment. Using the suck drug technique and inspect PEF with the Peak Flow Meter correctly is the important step to ensure the curative effect. Finally, it is effective to control asthma for a long time that the children are treated by the doctors and their parents at the same time.