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背景:放松疗法可减轻成人哮喘患者的不良情绪反应,降低哮喘发作次数,但缺乏对于哮喘儿童作用的评估数据。目的:探讨放松疗法对学龄哮喘患儿的焦虑、抑郁和咳嗽、气喘等症状的影响。设计:以诊断为依据,随机对照研究。单位:中南大学湘雅二医院儿科和中南大学精神卫生研究所。对象:2001-01/2004-01中山市博爱医院儿科就诊的1438名哮喘患儿中筛选出符合标准578例,再随机抽取64例作为研究对象,随机分配到实验组31例,对照组33例。干预:在两组药物治疗相同的基础上,实验组每晚睡前给予放松治疗,持续4周。治疗前后评估两组患儿的焦虑、抑郁症状,治疗期间评估哮喘症状、记录计算哮喘控制参数。主要观察指标:焦虑和抑郁评分,日间和夜间哮喘症状记分、无哮喘症状的天数、哮喘发作与加重次数等指标。结果:治疗前两组焦虑和抑郁症状评分无统计学差异(P>0.05),两组患儿的焦虑和抑郁评分在治疗结束时均明显降低(P均<0.01),但实验组较对照组下降更明显,差异具有统计学显著性(P均<0.01)。日间哮喘症状记分,夜间哮喘症状记分,无哮喘症状的天数比率,≥1次哮喘发作的比率,两组比较差异均有显著性意义(P<0.05～0.01)。结论:放松疗法可以减轻学龄哮喘患儿的不良情绪反应,并改善多项哮喘控制参数,是一种较好的辅助治疗手段。
Background: Relaxation therapy relieves the adverse emotional reactions in adults with asthma and reduces the number of asthma attacks, but lacks assessment data on the effects of asthma in children. Objective: To investigate the effects of relaxation therapy on anxiety, depression, cough, asthma and other symptoms in school-age asthmatic children. Design: Based on diagnosis, randomized controlled study. Unit: Second Xiangya Second Hospital of Central South University and Central South University Institute of Mental Health. PARTICIPANTS: A total of 1438 asthmatic children with pediatric asthma admitted to Pok Oi Hospital of Zhongshan Hospital from January 2001 to January 2004 were screened for 578 cases. 64 cases were randomly selected as study subjects and randomly assigned to 31 cases in experimental group and 33 cases in control group . Intervention: On the basis of the same medication treatment in both groups, the experimental group was given relaxing treatment before going to bed every night for 4 weeks. Anxiety and depressive symptoms in both groups were assessed before and after treatment, asthma symptoms were evaluated during treatment, and asthma control parameters were recorded and recorded. MAIN OUTCOME MEASURES: Anxiety and depression scores, daytime and nighttime asthma symptom scores, days without asthma symptoms, asthma attacks and exacerbations. Results: There was no significant difference in anxiety and depression scores between the two groups before treatment (P> 0.05). The anxiety and depression scores of both groups were significantly decreased at the end of treatment (P <0.01) Decline more obvious, the difference was statistically significant (P all <0.01). Daytime asthma symptom score, nighttime asthma symptom score, the number of days without asthma symptoms, the rate of ≥1 asthma attack, the difference between the two groups was significant (P <0.05 ~ 0.01). Conclusion: Relaxation therapy can reduce adverse emotional reactions in asthmatic children and improve many asthma control parameters, which is a good adjuvant therapy.