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1、哮喘控制测试量表在儿童哮喘中病情评估探究［摘要］目的：探讨儿童哮喘控制测试量表（c-ACT）在临床病情评估中应用可行性。方法：选择2009年11月〜2010年3月份就诊安徽省立医院儿科门诊的符合儿童，哮喘诊断标准的患儿289例（5~14岁），并且按2006版修订的全球哮喘防治创议（GINA）方案治疗至少3个月。按照年龄分成两组，一组5〜7岁儿童，另一组8~14岁儿童。每组首先采用c-ACT自身评估哮喘的控制情况；然后由儿科专家医师根据临床特征进行哮喘控制情况的评估；最后通过肺功能检查评估哮喘的控制情况。对c-ACT评估哮喘的完全控制率与临床评估、肺功能评估哮
2、喘的完全控制率进行比较。结果：5~7岁儿童中，c-ACT评估哮喘与临床评估、肺功能评估不符，临床评估哮喘与肺功能评估相符。8~14儿童中，c-ACT评估哮喘与临床评估、肺功能评估相符，临床评估哮喘与肺功能评估相符。结论：5~7岁支气管哮喘儿童，在基层医院，或是没有肺功能检查仪的医院，尚不可以用c-ACT代替临床评估和肺功能检查来评估哮喘控制情况。旷14岁支气管哮喘儿童，在基层医院，或是没有肺功能仪的医院，可以应用c-ACT来代替临床评估和肺功能检查来评估哮喘的控制情况。［关键词］儿童哮喘控制测试量表；支气管哮喘；儿童;临床评估；肺功能[Objectives]
3、Toinvestigatethefeasibilityofasthmacontroltestmeterinpediatricclinicalwork.Methods:RightfromNovember2009toMarch2010,theAffiliatedProvince,sHospitalofAnhuiMedicalUniversity289out-patientofPediatrics(5~14yearsold),accordingwithchilddiagnosticcriteriaofasthma,andaccordingtoGINAtreatme
4、ntofatleast3monthsormorechildrenwithbronchialasthma.Dividingthemintotwogroups,onewas5〜7yearsold,anotherwas8〜14yearsold,First,LetthemfilltheasthmacontroltestmetersimuItaneously.second,letthemmakeclinicassessmentsandpulmonaryfunctiontest,Thecompleterateofchildrenasthmacontroltestwith
5、pulmonaryfunctionevaluationandclinicassessmentswerecompared.Thecorrelationandreliabilitywereanalyzed.ResuIts：Betweenfiveandsevenyearsold,comparingc~ACTevaluationandclinicassessments,pulmonaryfunctionevaluation,therewasverysignificantdifference・Comparingclinicassessmentsandpulmonary
6、functionevaluation,therewasnosignificantdifference.Betweeneightandfourteenyearsold,comparingc~ACTevaluationandclinicassessments,pulmonaryfunctionevaluation,therewasnosignificantdifference・Comparingclinicassessmentsandpulmonaryfunctionevaluation,therewasnosignificantdifference.Concl
7、usions：Asthmacontroltestmetercouldnotbeappliedinpediatrieclinicalworkcompletely.Itcouldnotalsobeusedinbasicmedicalinstitutionalonetoevaluateasthmacontrolstatus,especiallybetweenfiveandsevenyearsold・Butasthmacontroltestmetercouldbeappliedtoevaluateasthmacontrolstatusinpediatricclini
8、calworkbetweeneightandfour
