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目的:探讨系统化管理(GINA)对婴幼儿哮喘的疗效影响。方法:将60例诊断为婴幼儿哮喘的患儿随机分为两组,每组患儿均根据病情严格按照GINA方案制定诊疗计划,系统化管理组患儿由专门哮喘管理小组统一管理,建立患者档案,定期主动与患者或家属电话联系了解病情并指导治疗,约定复诊时间及接受哮喘知识培训。对照组患儿没有专门小组进行管理,由门诊医师在前次就诊时约定下次就诊时间,中间没有电话随访,不定期自主参加哮喘知识培训。结果:患儿依从性和临床症状评定系统管理组均明显好于对照组,两组比较有统计学差异(P<0.05)。结论:系统化管理能有效提高患者的依从性,并对哮喘的控制起到积极作用,是今后哮喘管理的发展方向。
Objective: To explore the effect of systematic management (GINA) on the efficacy of infant asthma. Methods: Sixty infants diagnosed with asthma in infants and young children were randomly divided into two groups. Each group of children were diagnosed and treated according to the GINA plan. The patients in the systematic management group were managed by a specialized asthma management team. Patients were established Files, regularly take the initiative to contact the patient or family members to understand the disease and guide the treatment, agreed to referral time and receive training in asthma knowledge. Children in the control group did not have a special group for management. The outpatient physician agreed on the next visit time during the last visit, and there was no telephone follow-up in the control group and asthma knowledge training from time to time. Results: The management of children compliance and clinical symptoms were significantly better than the control group, the two groups were statistically significant (P <0.05). Conclusion: Systematic management can effectively improve patient compliance and play an active role in the control of asthma, which is the development direction of asthma management in the future.