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目的 探讨父母听诊对哮喘患儿喘鸣评价的临床意义。方法 父母及哮喘患儿 96对 ,教会父母用耳听喘鸣后 ,与医生听诊结果比较 ,并用峰流速仪检测呼气峰流速率 (PEFR)。结果 在 5 92次观察中 ,医生及父母分别有 6 4 7%及 5 5 6 %发现喘鸣 (P <0 0 1)。医生容易听诊者 ,父母能听到 99 1% ;医生较难听到者 ,父母仅能听到 6 5 4%。父母容易听到、较难听到及未听到者 ,平均PEFR分别为 (5 1± 2 5 ) %、(72± 2 0 ) %、(92± 1 8) %(三者相互比较 ,P值均 <0 0 1)。结论 可教会父母判断喘鸣的存在及程度 ,这有助于父母对哮喘患儿的监护 ,并可帮助父母决定何时增加药物 ,何时需要及时就诊
Objective To investigate the clinical significance of parental auscultation in asthmatic children with wheeze evaluation. Methods Ninety-six pairs of parents and asthmatic children were enrolled. After listening to the wheezing, the parents of the church compared their auscultation results with the auscultation results. Peak expiratory flow rate (PEFR) was measured with a peak flow meter. Results Of the 5 92 observations, 68.7% and 65.6% of the doctors and parents respectively found wheezing (P <0.01). The doctor can easily hear the patient, parents can hear 991%; the doctor is harder to hear, parents can only hear 654%. Parents were easy to hear, harder to hear and did not hear, the average PEFR were (51 ± 2 5)%, (72 ± 20)%, (92 ± 18)% All <0 0 1). CONCLUSIONS Parents can be taught to judge the presence and extent of wheezing, which can help parents guardianship of children with asthma and can help parents decide when to increase their medication and when they need timely treatment