小儿哮喘综合干预的临床效果观察

Effect of Comprehensive Intervention in the Treatment of Children with Asthma

目的探讨哮喘患儿开展社区综合干预措施的临床效果。方法选取我社区中心2007—2009年收治的67例哮喘患儿作为对照组,仅给予常规对症治疗;选取我社区中心2010—2012年收治的73例哮喘患儿作为研究组,在常规治疗的基础上,通过建立档案及远期追踪随访的方式开展综合干预措施。记录两组患儿干预前后哮喘发作情况。结果干预前,两组哮喘发作次数、急诊次数、住院次数及第1秒用力呼气末容积(FEV1)比较,差异均无统计学意义(P>0.05);干预后,研究组患儿哮喘发作次数、急诊次数及住院次数均少于对照组,FEV1高于对照组(P<0.05)。结论对哮喘患儿开展综合干预,能够有效降低患儿哮喘发作次数、急诊次数及住院次数,明显改善患儿肺功能。

Objective To explore the effect of comprehensive intervention in the treatment of children with asthma. Methods 67 children with asthma in our community center were chosen as control group from 2007 to 2009, and they were given routine symptomatic treatment; 73 children with asthma in our community center were chosen as study group from 2010 to 2012, besides the routine symptomatic treatment, they were given the comprehensive intervention through the establishment of archives and long - term follow up. The incidence of asthma in the two groups was recorded before and after the intervention. Results Before the intervention, there was no statistically significant difference in the asthma attacks, emergency department visits, hos- pitalizations and FEVl between the two groups （P 〉 0. 05） ; After the intervention, the asthma attacks, emergency department visits and hospitalizations of syudy group were lower than those of control group, the FEV1 was higher than that of control group （P 〈 0. 05 ）. Conclusion It is an effective scheme of comprehensive intervention in the treatment of children with asthma, which can effectively reduce asthma attacks, emergency department visits and hospitalizations, significantly improved lung function.