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目的:采用多中心城乡联合网络信息化数据库管理模式进行儿童支气管哮喘规范治疗以及管理的推广,并进行应用效果评价。方法:对确诊的418例支气管哮喘患儿制定个体化治疗方案并建立数据库。通过中山市多中心城乡联合网络信息管理平台,对哮喘儿童进行分级管理,并通过该渠道实施哮喘规范化管理的推广,对比管理前后哮喘患儿临床病情控制情况、急性发作和急诊就医次数、家庭经济负担情况、患儿误学以及家长误工的情况。结果:实施该管理体系使中山市哮喘患儿用药更趋合理,能有效提高支气管哮喘患儿疾病控制率,减少哮喘急性发作和急诊就医次数,减少患儿误学及家长误工天数,降低社会及家庭经济负担。结论:采用多中心城乡联合网络信息管理平台在中山市进行儿童哮喘规范管理模式的推广对儿童哮喘的防治效果显著。
OBJECTIVE: To promote the standardization of treatment and management of bronchial asthma in children by using the multi-center information network management model of urban-rural network, and evaluate the application effect. Methods: A total of 418 patients with bronchial asthma diagnosed individual treatment programs and the establishment of a database. Through Zhongshan multi-center urban and rural network information management platform, asthma children were classified management, and through the channel to promote the promotion of standardized management of asthma, compared with the management of children with asthma before and after treatment to control the clinical condition, the number of acute attacks and emergency visits, the family economy Burden, child misunderstanding and parental mistakes. Results: The implementation of this management system makes Zhongshan children asthma medication more reasonable, can effectively improve the rate of disease control in children with bronchial asthma, reduce the number of acute asthma attacks and emergency visits, reduce the number of miscarried children and parental days of work, reduce social and Household economic burden. Conclusion: Adopting multi-center urban-rural network information management platform to promote the standardized management of childhood asthma in Zhongshan City has a significant effect on the prevention and treatment of childhood asthma.