CAJ | 학술논문

支气管哮喘(简称哮喘)以症状及气流受阻的可逆性及变异性为突出特点,动态监测能够观察到患者在日常生活中报道的哮喘事件及其相关因素,从而明确诊断、改善哮喘控制、确定引起哮喘的环境因素.动态监测的内容包括症状、肺功能、炎症反应及医疗用药情况等几个方面,多维度监测有助于疾病诊断、鉴别诊断及哮喘控制程度评估.将动态监测的各项内容整合为哮喘日志是临床简便易行的方法,合理的监测应当至少每天2次,持续2～3周.动态监测的依从性随监测时间的延长而下降,电子形式日志、灵活的时间设定、老年患者、教育水平较高者有更好的依从性,而哮喘严重者、抑郁、焦虑患者依从性可能较差.整合了动态监测的哮喘计划能对哮喘控制产生有益的作用.
지기관효천(간칭효천)이증상급기류수조적가역성급변이성위돌출특점,동태감측능구관찰도환자재일상생활중보도적효천사건급기상관인소,종이명학진단、개선효천공제、학정인기효천적배경인소.동태감측적내용포괄증상、폐공능、염증반응급의료용약정황등궤개방면,다유도감측유조우질병진단、감별진단급효천공제정도평고.장동태감측적각항내용정합위효천일지시림상간편역행적방법,합리적감측응당지소매천2차,지속2～3주.동태감측적의종성수감측시간적연장이하강,전자형식일지、령활적시간설정、노년환자、교육수평교고자유경호적의종성,이효천엄중자、억욱、초필환자의종성가능교차.정합료동태감측적효천계화능대효천공제산생유익적작용.
Bronchial asthma (asthma) is characterized by airway inflammation, by reversible and variable airflow obstruction. Dynamic monitoring is essential in asthma control by recording the episodes in the natural and spontaneous context. Dynamicmonitoring plans in asthma patients are beneficial to obtain reliable person-level information, individual changes over time. The purpose of dynamic monitoring is to confirm the diagnosis of asthma, to improve control of asthma, and to identify environmental causes of asthma symptoms. The contents included in asthma dynamic monitoring are: symptoms, lung function,inflammatory markers and asthma medications. Asthma diary integrated with multidimensional monitoring contents is feasible in clinical practice. Rational monitoring should be performed at least twice a day during a period of 2 to 3 weeks. The compliance with dynamic monitoring decreased along with the duration.Electronic methods,flexible time design,old patients, high education level pointed to good compliance,however severe asthma, depression and anxiety meant bad compliance. Dynamic monitoring is confirmed to be beneficial to asthma control.