摘要
目的评价峰流速仪联合儿童哮喘控制测试（childhood asthma control test,C-ACT）在社区儿童支气管哮喘患者管理中的应用效果。方法将门诊就诊的106例哮喘患儿随机分为试验组54例和对照组52例,试验组发放简易峰流速仪监测呼气峰流速及复诊时进行C-ACT,两组均观察1年,每1-3个月复诊1次,比较试验组与对照组哮喘控制水平、长期控制药物使用依从性。结果两组随诊1年后哮喘控制、部分控制及未控制差异有显著性,试验组临床控制率为70.4%,对照组为19.2%。两组随诊1年后长期控制药物使用依从性试验组达79.6%,而对照组为50.0%,其中随诊1、3个月两组差异无显著性（P〉0.05）,而6、9、12个月差异有显著性（P〈0.01）。医生评估哮喘控制分级与患者C-ACT评估哮喘控制分级一致性好,Kappa值为0.769。结论峰流速仪联合C-ACT更能准确、全面地反映病情,适用于社区医务人员及患者本人对病情的评估,且可提高患者用药依从性,对于哮喘患者的管理具有较好的指导作用。
Objective To evaluate the application value of the peak expiratory flow combined with childhood asthma control test （ C-ACT） in community management children who has bronchial asthma. Method 106 cases of outpa-tient children with asthma were randomly divided into 54 cases of the experimental group and 52 cases of comparison group, children in the experimental group are given a simple peak expiratory flow to monitor the peak expiratory flow and asked to perform Asthma Control Test during referrals, the two groups were both observed for 1 year, referral every 1-3 months once time, asthma control level and the compliance of long-term control medication are compared between the experimental group and the comparison group. Result Followed up for one year, the difference of asth-ma control, portion control and non-control between the two groups was statistically significant, clinical control rate of experimental group was 70. 4%,but the comparison group was only 19. 2%. At the same time, compliance of the long-term control medication of the experimental group is 79. 6%, while the comparison group is 50. 0%. Followed up for one month or three months,the difference between the two groups was not statistically significant （P＆gt;0. 05）, and followed up for 6,9, 12 months, difference between the two groups was statistically significant （P＆lt;0. 01）. The consistency of doctors＆#39; assessment of asthma control grading with C-ACT grading of patients is good, the Kappa val-ue is 0. 769. Conclusion The peak expiratory flow combining the asthma control test can reflect the patients＆#39; condi-tion more accurately and comprehensively, when used it widely to assess the patients＆#39; condition by community health workers and patients themselves, compliance of patients will improve and guidance for the management of asthma patients will be better.
出处
《中国医刊》
CAS
2015年第3期45-48,共4页
Chinese Journal of Medicine
基金
北京市西城区科技新星基金
关键词
儿童哮喘
峰流速仪
哮喘控制测试
应用
评价
Children asthma
Peak expiratory flow
Childhood asthma control test
Application
Evaluation
