哮喘控制测试与呼气峰流速值监测在儿童哮喘管理中应用对比研究.docVIP

哮喘控制测试与呼气峰流速值监测在儿童哮喘管理中应用对比研究 　　[摘要] 目的 哮喘控制测试与呼气峰流速值监测在儿童哮喘管理中的应用对比研究。 方法 随机选取2009年5月～2012年5月经我院诊治的哮喘患儿120例，分为实验组和对照组，实验组采用C-ACT评分评估病情，对照组采用PEF变化情况监测病情，评价右心功能。 结果 两组患儿的病情评估手段准确率均很高，但指导治疗后患儿的右心舒张功能明显优于对照组患儿，治疗总有效率显著高于对照组（P0.05）。 结论 儿童哮喘控制测试（C-ACT）是目前更为科学可靠的评估手段，为病情变化提供鉴别指标，适合临床应用。 　　[关键词] 儿童哮喘;病情评估;C-ACT评分;PEF监测 　　[中图分类号] R725.6 [文献标识码] B [文章编号] 2095-0616（2015）02-190-03 　　A comparative study on the application of asthma control test and peak expiratory flow monitoring in the management of children asthma 　　FAN Liqin 　　Department of Function Test，the Peoples Hospital of Baiyun District of Guangzhou City，Guangzhou 510500，China 　　[Abstract] Objective To comparatively study the application of asthma control test and peak expiratory flow monitoring in the management of children asthma. Methods 120 cases of children with asthma treated in our hospital were randomly selected from May 2009 to May 2012，which were divided into experimental group and control group.The experimental group was given childhood asthma control test （C-ACT） to assess the condition， whereas the control group was using the peak expiratory flow （PEF） to monitor the change of condition.The function of the right ventricle was evaluated. Results Two groups of childrens condition assessment method are high accuracy，but after treatment with the guidance of right heart diastolic function was better than control group with，total effective rate is significantly higher than control group （P0.05）. Conclusion Childhood asthma control test （C-ACT） is scientifically reliable assessment methods at present，which can provide identification indexes for changes of condition and is suitable for clinical application. 　　[Key words] Children asthma;Condition assessment;C-ACT score;PEF monitoring 　　支气管哮喘简称哮喘，是儿童期最常见的慢性呼吸道疾病，是有多种细胞（嗜酸性细胞，肥大细胞等）共同参与的气道慢性炎症疾病，常表现为反复发作性喘息、气促、胸闷咳嗽等，夜间和晨起加重，70%～80%发病于5岁前，儿童哮喘如若诊治不及时，随病程延长可产生气道不可逆性狭窄和气道重塑，后果严重，因此需要尽早诊治，我院儿科就哮喘控制测试与呼气蜂流速值监测在儿童哮喘管理中的应用对比研究中取得一定成果，现报告如下。 　　1 资料与方法 　　1.1 一般资