| 哮喘控制测试与肺功能在哮喘管理中的相关性研究 |
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| 引用本文： | 范晔,段玉香,杨海峰,胡峰.哮喘控制测试与肺功能在哮喘管理中的相关性研究[J].河北医学,2013(8):1158-1160. |
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| 作者姓名： | 范晔 段玉香 杨海峰 胡峰 |
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| 作者单位： | 上海市长宁区同仁医院呼吸科,上海长宁区200050 |
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| 摘 要： | 目的：探讨哮喘控制测试（asthmacontroltest，ACT）和肺功能检测在支气管哮喘患者管理中的相关性。方法：将ACT应用于哮喘患者78例。在哮喘患者应用ACT和药物治疗时、应用ACT6个月结束时测定第1秒用力呼气量（FEV1）、FEV1占预计值百分比（FEVI％预计4／t），呼气峰流量（PEF）、PEF占预计值百分比（PEF％预计值），同时测定ACT评分。结果：应用ACT前FEVI％预计值为55．63±18．25，PEF％预计值为56．72±17．11，ACT评分16．12±3．41。应用ACT6个月后，FEV1％预计值为76．73±14．62，PEF％预计值79．21±15．5l，ACT评分22．54±2．76。治疗前与治疗后差异有统计学意义（t=12．5818．31，均P〈O．01）；ACT与FEVI％和PEF％，具有良好相关性（r=0．82，r=0．81均P〈0．01）结论：ACT与肺功能相结合能有效用于支气管哮喘患者的管理，ACT与肺功能在哮喘中有相关性。
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| 关 键 词： | 支气管哮喘 哮喘控制测试 肺功能 |
Correlation Study of Asthma Control Test and Pulmonary Function in the Management of Asthmatic Patients |
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| Institution: | FAN Ye, DUAN Yuxiang, YANG Haifeng, et al (Tongren Hospital in Changning District of Shanghai, Shanghai Changning District 200050, China ) |
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| Abstract: | Objective： To evaluate the correlation of asthma control test （ ACT ） and pulmonary function in the management of patients with asthma. Method： Seventy eight asthmatic patients were enrolled in the ACT trial. FEV1 , FEVI%, PEF, PEF% and ACT score were measured before and 6 months after treat ment. Result： Before treatment, FEV1% was 55.63 ±18.25,PEF% was 56.72±17.11 and ACT scores were 16.12±3.41 ; after 6 month treatment FEV1% increased to 76.73±14.62, PEF% increased to 79.21± 15.51 and ACT scores increased to 22.54±2.76 （ t= 12.58 18.31 ,both P〈0. 01 ）. ACT scores were correlated with FEVI and PEF （r=0. 82, r=0. 81 ,P〈0.01）. Conclusion： ACT is an effective method in management of asthmatic patients, increasing the compliance of patients and facilitating the asthma control. ACT scores are correlated with pulmonary function. |
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| Keywords: | Asthma Asthma control test Pulmonary function |
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