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[目的]探讨阶梯式治疗儿童支气管哮喘的临床效果。[方法]152例儿童支气管哮喘患者随机分为观察组和对照组(各76例)。观察组采用“全球哮喘防治创议”(GINA方案)给予阶梯式治疗,对照组给予抗炎、解痉和平喘治疗。比较两组患者的哮喘发作次数、喘息天数和住院次数及呼气峰流值(PEF值)。[结果]观察组有效率93.4%(71/76)高于对照组67.1%(51/76);哮喘发作次数、喘息天数和住院次数均较治疗前减少,与对照组治疗后相比也明显减少;对照组治疗前后各项指标均无显著变化。观察组治疗后PEF值升高;对照组治疗前后PEF值类似。[结论]对哮喘患者进行阶梯式治疗能够较好地控制支气管哮喘。应加强GINA方案的推广。
[Objective] To investigate the clinical effect of stepped treatment of bronchial asthma in children. [Method] 152 children with bronchial asthma were randomly divided into observation group and control group (76 cases each). The observation group was treated with “Global Initiative for Prevention and Treatment of Asthma” (GINA program), while the control group was given anti-inflammatory, antispasmodic and antiasthmatic treatment. The number of asthma attacks, days of wheeze, number of hospitalizations, and peak expiratory flow (PEF) were compared between the two groups. [Results] The effective rate of the observation group was 93.4% (71/76), which was higher than that of the control group (67.1%, 51/76). The number of asthma attacks, the number of respite days and the number of hospitalizations were all lower than those before treatment, Reduce; control group before and after treatment no significant changes in the indicators. PEF value increased in the observation group after treatment; PEF values in the control group before and after treatment were similar. [Conclusion] Stepping therapy for asthma patients can better control bronchial asthma. GINA program should be strengthened.