中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
18期
11-12,18
,共3页
黄莉%陈燕如%洪静宜%陈春婵
黃莉%陳燕如%洪靜宜%陳春嬋
황리%진연여%홍정의%진춘선
哮喘%哮喘控制测试%影响%肺功能
哮喘%哮喘控製測試%影響%肺功能
효천%효천공제측시%영향%폐공능
Asthma%ACT%Effect%Pulmonary function
目的：分析哮喘控制测试（ACT）在哮喘专病门诊患者长期管理中治疗效果的影响。方法收集2009年6月～2013年3月笔者所在医院哮喘专病门诊接诊的哮喘患者419例，随机分为观察组209例，对照组210例，均进行规范治疗及肺功能检测，观察组给予ACT，6个月后对两组患者进行治疗效果的评价。结果观察组治疗后的肺功能指标均明显优于对照组，且较治疗前显著改善，ACT评分较治疗前升高明显，差异均有统计学意义（ P ＜0.05）。观察组ACT显示，完全控制101例（48.32%），部分控制105例（50.24%），未控制3例（1.44%）。观察组患者用药依从性良好有173例（82.8%），对照组有93例（44.3%），观察组患者用药依从性优于对照组（ P＜0.05）。结论ACT指导哮喘治疗效果显著，能提高患者哮喘控制率和依从性，值得推广应用。
目的：分析哮喘控製測試（ACT）在哮喘專病門診患者長期管理中治療效果的影響。方法收集2009年6月～2013年3月筆者所在醫院哮喘專病門診接診的哮喘患者419例，隨機分為觀察組209例，對照組210例，均進行規範治療及肺功能檢測，觀察組給予ACT，6箇月後對兩組患者進行治療效果的評價。結果觀察組治療後的肺功能指標均明顯優于對照組，且較治療前顯著改善，ACT評分較治療前升高明顯，差異均有統計學意義（ P ＜0.05）。觀察組ACT顯示，完全控製101例（48.32%），部分控製105例（50.24%），未控製3例（1.44%）。觀察組患者用藥依從性良好有173例（82.8%），對照組有93例（44.3%），觀察組患者用藥依從性優于對照組（ P＜0.05）。結論ACT指導哮喘治療效果顯著，能提高患者哮喘控製率和依從性，值得推廣應用。
목적：분석효천공제측시（ACT）재효천전병문진환자장기관리중치료효과적영향。방법수집2009년6월～2013년3월필자소재의원효천전병문진접진적효천환자419례，수궤분위관찰조209례，대조조210례，균진행규범치료급폐공능검측，관찰조급여ACT，6개월후대량조환자진행치료효과적평개。결과관찰조치료후적폐공능지표균명현우우대조조，차교치료전현저개선，ACT평분교치료전승고명현，차이균유통계학의의（ P ＜0.05）。관찰조ACT현시，완전공제101례（48.32%），부분공제105례（50.24%），미공제3례（1.44%）。관찰조환자용약의종성량호유173례（82.8%），대조조유93례（44.3%），관찰조환자용약의종성우우대조조（ P＜0.05）。결론ACT지도효천치료효과현저，능제고환자효천공제솔화의종성，치득추엄응용。
Objective To analyze the effect of asthma control test (ACT) in long-term management of patients in asthma specialist outpatient clinic. Methods 419 asthma patients in asthma specialist outpatient clinic of our hospital from June 2009 to March 2013 were collected, and randomly divided into the observation group in 209 cases and the control group in 210 cases. The patients were given normative treatment and pulmonary function testing, and the observation group was given ACT on this basis. The effect of two groups was evaluated after 6 months of treatment. Results The pulmonary function indexes of the observation group after the treatment were significantly better than those of the control group, and improved more significant than those before the treatment, and ACT score after the treatment increased more significant than that before the treatment, the differences were statistically significant(P< 0.05). The ACT of the observation group showed that complete control in 101 cases (48.32%), partial control in 105 cases (50.24%) and uncontrol in 3 cases (1.44%). The good compliance of the observation group were 173 cases(82.8%), the control group were 93 cases(44.3%), the compliance of the observation group was better than that of the control group(P<0.05). Conclusion ACT guidance for asthma treatment has significant effect, and can improve asthma control rate and compliance, and it is worthy of popularization and application.
