运动在儿童哮喘管理中的作用.PDFVIP

J South Med Univ, 2014, 34(1): 75-78 doi 10.3969/j.issn. 1673-4254.2014.01.16 ·75 · 临床研究 运动在运动在儿童哮喘管理中的作用儿童哮喘管理中的作用 1 2 程波利 ，黄 英 1 2 川北医学院附属医院儿科，四川 南充 637000 ；重庆医科大学附属儿童医院呼吸中心，重庆 400014 摘要：目的 了解运动在儿童哮喘管理中的作用，探讨适合我国儿童哮喘管理的初步运动处方。方法 112例7~ 14岁哮喘患儿随 机分为运动组（56 例）和对照组（56 例），运动组在给予药物治疗同时给予运动处方，对照组仅给予药物治疗，试验持续4 个月。 在入组后每日记录哮喘日记卡内容：早晚呼吸峰流、日间和夜间症状评分、β2 受体激动剂使用频率、运动情况及及其过程中出现 哮喘相关症状情况。结果 112例研究对象中，共107例完成试验。运动组日内PEF 变异率自第13周开始持续低于对照组（P 0.05）；运动组日间症状评分、夜间症状评分及应急用药量均显著小于对照组（均P0.05）；试验期间未发生严重不良事件。结论 哮喘患儿进行4 个月每周3 d ，每次持续20 min 以上的运动有益于其儿童哮喘控制，并且是安全的。 关键词：哮喘；儿童；运动处方；哮喘管理 Role of exercise in asthma management in children 1 2 CHENG Boli , HUANG Ying 1Department of Pediatrics, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China; 2Department of Respiratory Medicine, Childrens Hospital Affiliated to Chongqing Medical University, Chongqing 400014, China Abstract: Objective To study the role of exercise in asthma management in children and formulate exercise prescriptions for asthmatic children. Methods A total of 112 asthmatic children aged 7-14 years were randomized into control group (n=56, with medications only) and exercise group (n=56, with medications and exercise prescription) for a trial lasting for 4 months. An asthma diary was used for all children to record the morning and evening peak expiratory flow (PEF), daytime and nighttime asthma symptom score, use of short-acting beta agonists, participation in physical activity, and exercise-induced asthma symptoms. Results Of the 112 children, 5 dropped out before the trial completion. From the 13th week, PEF variation in exercise group was significantly lowered compared to that in the control group (P0.05). Upon the completion of the trial, the