GINA方案与穴位贴敷治疗哮喘儿童的生活质量分析

目的]探讨按照哮喘全球防治创议(GINA方案)结合穴位贴敷治疗轻中度慢性持续期哮喘对患儿生活质量的影响。方法]选择轻中度慢性持续期哮喘患儿98例,随机分为观察组56例,对照组42例。两组均以GINA阶梯式方案为基础治疗,观察组加用中药穴位贴敷,制定个体化治疗方案,定期随访。治疗前及治疗后6个月分别进行儿科哮喘生活质量量表(PAQLQ)填写,对患儿生活质量进行评估。结果]两组间比较,两组患儿治疗后症状、活动、情感方面均较治疗前得到明显改善;治疗后症状维度较情感维度改善更好,而活动维度两组间无差别。结论]与单纯按照GINA方案小剂量糖皮质激素吸入为基础的阶梯式治疗比较,加用中药穴位贴敷治疗轻中度慢性持续期哮喘,能提高患儿的生活质量,改善临床症状。

Analysis of life quality in children with asthma after treatment of GINA scheme and external application of

Objective] To explore the effect of GINA scheme combined with external application on acupoint on life quality in children with mild or moderate chronic persistent asthma.Methods] The 98 children with chronic continuous asthma in mild or moderate degree were selected.They were randomly divided into the control group(42 cases)and the treatment group(56 cases).Taking GINA ladder scheme as the basic treatment in both groups and external application of Chinese medicine was added in the treatment group.A scheme of individual therapy was built and the effect was followed periodically.All children with asthma were enrolled in the asthma quality of life questionnaires(PAQLQ)trial before and 6 months after treatment for evaluating the life quality.Results] The symptom,activity and emotion were all significantly improved in both groups when compared with that before treatment.After treatment the dimensionality of symptom was improved more than that of emotion,but dimensionalities of activity were not different between two groups.Conclusion] Comparing with ladder treatment by inhalation of glucose cortex-hormone in mild dose according to GINA scheme as the basic therapy combining with external application of Chinese medicine on acupoint can improve the life quality and clinical symptom in children with mild or moderate chronic and continuous asthma.