多元化哮喘管理在提高儿童哮喘控制率中的作用

The role of multiple asthma managemengt in improving the control rate of childhood asthma

目的评价多元化哮喘管理在提高儿童哮喘控制率中的作用。方法将未规范治疗60例哮喘儿童纳入多元化哮喘管理模式为管理组,每1~3个月随访,观察6个月,检测肺功能(FEVl%),进行哮喘控制测试问卷(C-ACT)评分,评估哮喘控制情况,对照组为传统哮喘门诊随访的60例患儿,比较2组肺功能(FEVl%)、C-ACT评分改善情况及哮喘控制水平、用药依从性的差别。结果2组随访3个月及6个月时,管理组FEVl%及C-ACT评分均较对照组改善更明显,差异有统计学意义(P<0.05);6个月后哮喘控制水平差异有统计学意义(P<0.01),管理组总有效率为98.2%,对照组为85.7%,而6个月时用药依从性管理组达93.3%,对照组为70.0%,差异有统计学意义(P<0.01)。结论多元化哮喘管理更能增强患儿用药依从性,提高哮喘控制率。

Objective `To investigate the role of multiple asthma management in improving the control rate of childhood asthma.Methods Sixty children patients with asthma without standard treatment were enrolled in the study,who were treated by pluralism asthma management mode,with 6-month follow up. The lung function(FEVl%) of patients was detected,and Children Asthma Control Test(C-ACT) score was used to evaluate the control status of childhood asthma.At the same time, the other 60 children patients with asthma were enrolled as control group,who were treated by conventional asthma management mode.The FEV1%,C-ACT scores, improving status of asthma and control levels as well as compliance were observed and compared between the two groups.Results At 3-month and 6-month follow up after treatment,the lung funtion(FEV1%)and C-ACT scores in multiple asthma management group were superior to those in control group(P<0.05). There was significant difference in control level of asthma at 6-month after treatment between the two groups(P<0.01).Total effective rate in multiple asthma management group was 98.2%,which in control group was 85.7%.The compliance in multiple asthma management group was 93.3% after 6-month treatment,which in control group was 70%, there was significant difference between the two groups(P<0.01).Conclusion The multiple asthma management can enhance the compliance of children with asthma, and improve the control rate for asthma.