[1]任晓红.C-ACT对门诊定期随访管理及辅助评价儿童哮喘控制水平的价值[J].齐鲁医学杂志,2017,32(03):308-310,314.[doi:10.13362/j.qlyx.201703018]
 REN Xiaohong.VALUE OF C-ACT IN THE PERIODICAL FOLLOW-UP MANAGEMENT AND THE EVALUATION FOR CONTROL LEVEL OF CHILDHOOD ASTHMA[J].Medical Journal of Qilu,2017,32(03):308-310,314.[doi:10.13362/j.qlyx.201703018]
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C-ACT对门诊定期随访管理及辅助评价儿童哮喘控制水平的价值()
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《齐鲁医学杂志》[ISSN:1008-0341/CN:37-1280/R]

卷:
第32卷
期数:
2017年03期
页码:
308-310,314
栏目:
出版日期:
2017-08-07

文章信息/Info

Title:
VALUE OF C-ACT IN THE PERIODICAL FOLLOW-UP MANAGEMENT AND THE EVALUATION FOR CONTROL LEVEL OF CHILDHOOD ASTHMA
文章编号:
1008-0341(2017)03-0308-04
作者:
任晓红
南京市中医院儿科,江苏 南京 210022
Author(s):
REN Xiaohong
Department of Pediatrics, Nanjing Traditional Chinese Medicine Hospital, Nanjing 210022, China
关键词:
哮喘儿童哮喘控制测试随访研究
Keywords:
asthma child asthma control test follow-up studies
分类号:
R562.25
DOI:
10.13362/j.qlyx.201703018
文献标志码:
A
摘要:
目的 探讨儿童哮喘控制测试(C-ACT)在儿童门诊定期随访管理、辅助评价儿童哮喘控制水平中的价值。
方法 选取支气管哮喘病儿84例,随机分为C-ACT组、常规组,各42例。两组均按照2008年版全球哮喘防治指南要求给予基础药物治疗,C-ACT组每2周进行1次C-ACT评分,定期到门诊接受随诊,C-ACT评分≤19分及时就诊;常规组分别于治疗前、治疗1个月和3个月时行C-ACT评分,不采用C-ACT评分指导治疗。
结果 治疗1、3个月,C-ACT组的C-ACT评分均高于常规组(t=2.675、2.591,P<0.05);治疗3个月,C-ACT组哮喘控制分级优于常规组(Z=2.225,P<0.05),C-ACT组的第1秒用力呼气容积、呼气峰值流速占预计值百分比高于常规组(t=2.673、3.549,P<0.05);治疗1、3个月,C-ACT哮喘控制评价与医师哮喘控制分级均呈显著正相关性(r=0.850、0.786,P<0.05)。
结论 C-ACT在哮喘儿童门诊定期随访管理、病情控制中有重要作用,对于治疗具有指导作用。
Abstract:
Objective  To explore the value of childhood asthma control test (C-ACT) in the follow-up management of children’s outpatient visits and evaluation for the control level of childhood asthma.
Methods  Eighty-four children with bronchial asthma were randomly divided into C-ACT group (n=42) and routine group (n=42). The two groups were treated with drug therapy in accordance with Global Initiative for Asthma (2008). The C-ACT group was assessed with the C-ACT scoring system once every 2 weeks, and received regular follow-up in outpatient department. The patients with a C-ACT score of ≤19 should see a doctor in time. The routine group was assessed with the C-ACT scoring system before treatment and after 1 and 3 months of treatment, rejecting the treatment guided by the C-ACT score.
Results  The C-ACT score in the C-ACT group were significantly higher than that in the routine group after 1 and 3 months of treatment (t=2.675,2.591;P<0.05). After 3 months of treatment, the asthma control level in the C-ACT group was significantly better than that in the routine group (Z=2.225,P<0.05), and the forced expiratory volume in the first second and the percentage of peak expiratory flow rate in the predicted value were significantly higher in the C-ACT group than in the routine group (t=2.673,3.549;P<0.05). At months 1 and 3 of treatment, C-ACT score had a significant positive correlation with asthma control level (r=0.850,0.786;P<0.05).
Conclusion  C-ACT plays an important role in regular follow-up management and disease control in children with asthma, and can provide guidance for the treatment of childhood asthma.
更新日期/Last Update: 2017-08-12