儿童支气管哮喘社区干预效果研究

目的探讨社区综合管理模式对儿童支气管哮喘的干预效果，为社区防治儿童支气管哮喘提供依据。方法将108例儿童支气管哮喘患儿随机分为对照组和干预组，各54例，对照组采用被动式门诊管理，而干预组采用社区综合管理模式，比较两组的症状、生活质量、肺功能及疗效等指标。结果干预组干预前发作次数、急诊次数、缺课天数与对照组比较差别均无统计学意义（P〉．05）；而干预1年后，干预组的发作次数、急诊次数、缺课天数均明显小于对照组（P〈0.01），说明干预组患儿经干预后病情有所减轻、生活质量有所提高。干预组干预前的FEV1、PEF％与对照组相比差别均无统计学意义（P〉0．05）；而干预1年后，干预组的FEV1、PEF％均明显高于对照组（P〈0．01），说明干预组患儿经干预后肺功能指标有明显好转。干预组干预1年的总有效率为92．59％，明显高于对照组的66．67％（P〈0．01），说明干预组经过干预后患儿的疗效明显得到提高。结论对儿童支气管哮喘患儿实施社区综合管理模式后，可明显降低患儿的发作频率，改善肺功能，提高疗效和生活质量。

Effect study of children bronchial asthma with community intervention

Objective To explore intervention effect on children bronchial asthma of community comprehensive manage- ment model, provide basis for preventing and treating bronchial asthma in community. Methods 108 cases of children bronchial asthma patients were randomly divided into control group （ n = 54 ） and intervention group （ n = 54 ）. The control group was car- ried out passive management of clinic service, and the intervention group was given community comprehensive management mod- el. The symptom, life quality, pulmonary function and curative effect indexes were compared between the two groups. Results There were no statistical significance of times of attacks, times of emergency and days of absenteeism between the two groups be- fore intervention. After 1 year intervention, times of attacks, times of emergency and days of absenteeism in the intervention group were much smaller than the control group （P〈0.01） , and it showed that patient＇s condition and life quality in the inter- vention group raised in some extent after intervention. There were no statistical significance of FEV1 and PEF% between the two groups before intervention. But FEV1 and PEF% in the intervention group were much higher than the control group （ P〈0.01 ） , and it indicated that pulmonary function of patients in the intervention group improved well after intervention. The total effective rate in the intervention group was 92.59% , much higher than the control group （66.67% , P〈0.01 ）, and it showed that the curative effect in the intervention group raised obviously after intervention. Conclusion After children bronchial asthma patients were carried out community comprehensive management model, it can obviously get down the frequency of attacks, improve pul- monary function, and raise curative effect and life quality.