目的探讨改良中文版儿童呼吸和哮喘控制测试(Test for Respiratory and Asthma Control in Kids Chinese Version,TRACK-C)在0~3岁哮喘婴幼儿不同患病时期的应用价值。方法选取2017年8月—2023年1月空军军医大学唐都医院小儿哮喘门诊中...目的探讨改良中文版儿童呼吸和哮喘控制测试(Test for Respiratory and Asthma Control in Kids Chinese Version,TRACK-C)在0~3岁哮喘婴幼儿不同患病时期的应用价值。方法选取2017年8月—2023年1月空军军医大学唐都医院小儿哮喘门诊中已建立标准化电子病历的203名0~3岁哮喘患儿作为哮喘组,同期100名健康儿童作为对照组。比较各组的TRACK-C评分、潮气肺功能、呼出气一氧化氮(Fractional Exhaled Nitric Oxide,FeNO)水平并进行相关性分析。结果哮喘组的FeNO、呼吸频率(Respiratory Rate,RR)和血液IgE水平高于对照组,达峰值时间比(Time to Peak Expirtory Flow/Time of Expiratory,TPTEF/TE)、达峰容积比(Volume to Peak Expiratory Flow/Volume of Expiratory,VPEF/VE)、公斤潮气量(Tidal Volume/kg,VT/KG)、TRACK-C评分水平低于对照组,差异有统计学意义(P均<0.05)。哮喘组急性期FeNO水平、RR水平高于缓解期,且TPTEF/TE、VPEF/VE、VT/KG、TRACK-C评分水平低于缓解期,差异有统计学意义(P均<0.05)。采用Pearson分析哮喘不同患病时期与各项观察指标的相关性,结果显示哮喘不同患病时期与TPTEF/TE、VPEF/VE、TRACK-C评分呈负相关(r=-0.468、-0.452、-0.289,P均<0.05)。结论TRACK-C评分可充分应用于0~3岁哮喘幼儿的病情评估,与潮气肺功能结合可以更好地对低龄患儿进行哮喘管理。展开更多
Objective： To observe the effect of breathing and Daoyin exercises on the quality of life in patients with stable chronic obstructive pulmonary disease（COPD） due to deficiency of the lung and kidney（grade II-III）...Objective： To observe the effect of breathing and Daoyin exercises on the quality of life in patients with stable chronic obstructive pulmonary disease（COPD） due to deficiency of the lung and kidney（grade II-III）.Methods： A total of 60 eligible cases were randomly allocated into a treatment group（n=30） and a control group（n=30） by random number table. Cases in the control group received routine Western medical treatment, whereas cases in the treatment group conducted breathing and Daoyin exercises in addition to routine Western medical treatment. Patients in both groups were treated for a total of 3 months. Then the observation was made on changes in pulmonary ventilation function, major clinical symptoms, modified Medical Research Council scale（m MRC）, distance in 6-minute walk test（6-MWT）, COPD assessment test（CAT） and efficacy satisfaction questionnaire for COPD（ESQ-COPD） before and after treatment. Results： After treatment, the total effective rate was 80.0% in the treatment group, versus 66.7% in the control group, showing a statistical difference（P〈0.05）. Patients in the treatment group obtained more significant improvement in coughing, sputum production, dyspnea and shortness of breath than those in the control group（P〈0.05）. Patients in the treatment group obtained more significant elevation in the forced expiratory volume in 1 second percentage of predicted value（FEV1%） and peak expiratory flow rate（PEF%） than those in the control group（P〈0.05）. Patients in the treatment group obtained lower m MRC score than those in the control group（P〈0.05）. Patients in the treatment group obtained longer 6-MWT distance than those in the control group（P〈0.05）. Patients in the treatment group obtained lower CAT score（P〈0.01） and higher ESQ-COPD score（P〈0.05） than those in the control group. Conclusion： Breathing and Daoyin exercises combined with routine Western medical treatment are effective for stable COPD（grade II-III） due to deficiency of the lung and kidney and can improve the patients＇ quality of life.展开更多
文摘目的探讨改良中文版儿童呼吸和哮喘控制测试(Test for Respiratory and Asthma Control in Kids Chinese Version,TRACK-C)在0~3岁哮喘婴幼儿不同患病时期的应用价值。方法选取2017年8月—2023年1月空军军医大学唐都医院小儿哮喘门诊中已建立标准化电子病历的203名0~3岁哮喘患儿作为哮喘组,同期100名健康儿童作为对照组。比较各组的TRACK-C评分、潮气肺功能、呼出气一氧化氮(Fractional Exhaled Nitric Oxide,FeNO)水平并进行相关性分析。结果哮喘组的FeNO、呼吸频率(Respiratory Rate,RR)和血液IgE水平高于对照组,达峰值时间比(Time to Peak Expirtory Flow/Time of Expiratory,TPTEF/TE)、达峰容积比(Volume to Peak Expiratory Flow/Volume of Expiratory,VPEF/VE)、公斤潮气量(Tidal Volume/kg,VT/KG)、TRACK-C评分水平低于对照组,差异有统计学意义(P均<0.05)。哮喘组急性期FeNO水平、RR水平高于缓解期,且TPTEF/TE、VPEF/VE、VT/KG、TRACK-C评分水平低于缓解期,差异有统计学意义(P均<0.05)。采用Pearson分析哮喘不同患病时期与各项观察指标的相关性,结果显示哮喘不同患病时期与TPTEF/TE、VPEF/VE、TRACK-C评分呈负相关(r=-0.468、-0.452、-0.289,P均<0.05)。结论TRACK-C评分可充分应用于0~3岁哮喘幼儿的病情评估,与潮气肺功能结合可以更好地对低龄患儿进行哮喘管理。
基金supported by the Project of State Administration of Traditional Chinese MedicineNo.201107002+1 种基金Shanghai Key Clinical Laboratory for Traditional Chinese MedicineNo.14DZ2273200~~
文摘Objective： To observe the effect of breathing and Daoyin exercises on the quality of life in patients with stable chronic obstructive pulmonary disease（COPD） due to deficiency of the lung and kidney（grade II-III）.Methods： A total of 60 eligible cases were randomly allocated into a treatment group（n=30） and a control group（n=30） by random number table. Cases in the control group received routine Western medical treatment, whereas cases in the treatment group conducted breathing and Daoyin exercises in addition to routine Western medical treatment. Patients in both groups were treated for a total of 3 months. Then the observation was made on changes in pulmonary ventilation function, major clinical symptoms, modified Medical Research Council scale（m MRC）, distance in 6-minute walk test（6-MWT）, COPD assessment test（CAT） and efficacy satisfaction questionnaire for COPD（ESQ-COPD） before and after treatment. Results： After treatment, the total effective rate was 80.0% in the treatment group, versus 66.7% in the control group, showing a statistical difference（P〈0.05）. Patients in the treatment group obtained more significant improvement in coughing, sputum production, dyspnea and shortness of breath than those in the control group（P〈0.05）. Patients in the treatment group obtained more significant elevation in the forced expiratory volume in 1 second percentage of predicted value（FEV1%） and peak expiratory flow rate（PEF%） than those in the control group（P〈0.05）. Patients in the treatment group obtained lower m MRC score than those in the control group（P〈0.05）. Patients in the treatment group obtained longer 6-MWT distance than those in the control group（P〈0.05）. Patients in the treatment group obtained lower CAT score（P〈0.01） and higher ESQ-COPD score（P〈0.05） than those in the control group. Conclusion： Breathing and Daoyin exercises combined with routine Western medical treatment are effective for stable COPD（grade II-III） due to deficiency of the lung and kidney and can improve the patients＇ quality of life.
