中国医学创新2023，Vol.20Issue(36)：134-139,6.DOI:10.3969/j.issn.1674-4985.2023.36.031
基层规范化治疗对哮喘儿童临床疗效及哮喘控制水平的影响
Effect of Standardized Treatment in Primary Care on Clinical Efficacy and Asthma Control Level in Children with Asthma
摘要
Abstract
Objective:To explore the effect of standardized treatment in primary care on the clinical effect and asthma control level of children with asthma.Method:A total of 102 children with asthma who received outpatient treatment or inpatient treatment in Xinyu Hospital of Traditional Chinese Medicine from June 2020 to June 2022 were selected as the study objects.According to the random number table method,they were divided into the control group and the observation group,with 51 cases in each group.The control group received acute anti-infection therapy,oxygen therapy and conventional symptomatic treatment,and the observation group received standardized treatment in primary care on the basis of the control group.After 16 weeks of treatment,the total effective rate,pulmonary function index[forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),ratio of forced expiratory volume in the first second to forced vital capacity(FEV1/FVC%)],number of asthma attacks,emergency room visits due to asthma attacks,asthma control test(ACT)scores,and quality of life were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the indexes of FVC,FEV1 and FEV1/FVC%in both groups were higher than those before treatment,and those in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The number of asthma attacks and emergency visits due to asthma attacks in the observation group were significantly less than those in the control group,with statistical significance(P<0.05).The ACT scores of both groups were higher after treatment than those before treatment,and that in the observation group was significantly higher than that in the control group,the differences were statistically significant(P<0.05).The scores of quality of life in both groups were higher after treatment than those before treatment,and those in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:In addition to anti-infective therapy,oxygen therapy and conventional symptomatic treatment in acute phase,the addition of standardized treatment in primary care can improve the clinical treatment effect of children with asthma,improve lung function,reduce the number of asthma attacks and emergency visits due to asthma attacks,improve ACT score,and improve the quality of life of children with asthma,and has high clinical application value.关键词
基层规范化治疗/哮喘儿童/哮喘控制水平Key words
Standardized treatment in primary care/Children with asthma/Asthma control level引用本文复制引用
易辉平,傅飞飞,张丽霞,傅建平,黄红梅,邓红..基层规范化治疗对哮喘儿童临床疗效及哮喘控制水平的影响[J].中国医学创新,2023,20(36):134-139,6.基金项目
新余市科技计划项目(20223090924) （20223090924）
