重庆医学2012，Vol.41Issue(16)：1579-1581,3.DOI:10.3969/j.issn.1671-8348.2012.16.007
规范化管理治疗对儿童哮喘肺功能的影响
Effect of standardized management treatment on lung fuction in asthmatic children
摘要
Abstract
Objective To investiget the effects of the standardized management treatment on the lung function in asthmatic children. Methods We built 61 medical records of asthmatic children in the community and divided them into two groups randomly. 33 cases were in the standardized management group and the orther cases were in the control group(28 cases). In the management group , the patients and their parents were thaught with the knowledge about asthma and the medicines of asthma treatment. The escalation therapy was made for different states of the illness according to the GINA. And they were followed-up regularly and adjusted upgrade or downgrade the treatment on time. In non-management group , they were not followed-up , their treatment was determined on their parents. The clinical effects and the lung function of the two groups were compared after one year. Results The clinical effects of the standardized management group were better than those of the non-management groupC-^2 =7. 31 , P<C0. 05). FEVi and PEF were risen and the differences were statistically significant in comparison with the non-management group after 1 year(P> 0. 05). And these indexes had no significant differences in the control group(P>0. 05). The lung function of the standardized management group recovered better in 12 months than in 6 months. If asthmatic children were older than 9 years and the asthma duration more than sixty months, their lung function recoverd slowly. The frequencies of acute attack and the times going to hospital of the standardized management group were reduced obviously(P<C0. 05). Conclusion With the standardized management treatment of asthmatic children,the frequencies of acute attack and emergency department visit are reduced,the lung function is improved obviously. And the longer they are treated,the better their lung function recovers. The older and the longer asthma duration they are, the more slowly their lung function recovers.关键词
哮喘/疾病管理/儿童/肺功能Key words
asthma/ disease management/ child/lung function引用本文复制引用
杨义琼,马利维,黄英,李晓阳,但东红,杨湛,秦晓..规范化管理治疗对儿童哮喘肺功能的影响[J].重庆医学,2012,41(16):1579-1581,3.基金项目
国家十一五科技计划课题资助项目(2007124B05) （2007124B05）
重庆市建委科技计划项目(城科字2009第131号). （城科字2009第131号）
