6~12岁支气管哮喘患儿的控制现状调查

目的调查6~12岁支气管哮喘患儿的治疗现状及控制情况，患儿家长对GINA方案的认知及执行情况。方法选取2017年3月至2018年9月门诊急诊就诊的6~12岁支气管哮喘患儿134例作为调查对象，通过一对一、面对面的形式进行问卷调查，收集和整理资料进行统计学分析。结果134例患儿中良好控制占16.4%(22/134)，部分控制占47.0%(63/134)，病情未控制占36.6%(49/134)。在哮喘控制治疗中规范治疗者仅占16.7%(21/134)，非规范治疗者占83.3%(113/134)(其中66.4%的患儿无任何治疗)。规范治疗组患儿哮喘控制效果和对治疗方案满意度均明显优于非ICS规范治疗组(P < 0.01)。仅56.0%的哮喘患儿家长知晓哮喘需要长期控制治疗，80.6%的家长知晓糖皮质激素用于控制哮喘治疗，80.9%的哮喘患儿家长愿意接受网络或微信平台推送哮喘防治知识。结论6~12岁儿童哮喘控制现状仍不理想，家长对哮喘病的了解及规范治疗的认知较低，应加强儿科及全科医生对哮喘的认知和重视，提高诊疗水平，加强对哮喘患儿家属的宣传教育，进一步利用互联网平台等做好哮喘患儿的管理及教育工作。

Investigation on the control status of bronchial asthma in children aged 6-12 years

ObjectiveTo understand the treatment and control status of children with bronchial asthma aged 6-12 years, and their parents' cognition and implementation of GINA program.MethodsThe children aged 6-12 years with bronchial asthma in emergency department from March 2017 to September 2018 were investigated.The questionnaires were filled out and collected through one-to-one and face-to-face, and the data were statistically analyzed.ResultsAmong 134 cases, the good control of disease accounted for 16.4%(22/134), partial control of disease accounted for 47.0%(63/134), and no control of disease accounted for 36.6%(49/134).Among the control treatment, the patients with standard treatment accounted for 16.7%(21/134), and the patients without standard treatment accounted for 83.3%(113/134)(including 66.4% of patients without any treatment).The asthma control effect and satisfaction with treatment plan in standard treatment group were significantly better than those in non-ICS standard treatment group(P < 0.01).Only 56.0% of parents of asthmatic children knew that the asthma needed long-term control and treatment, 80.6% of patients knew that glucocorticoids could be used to control asthma treatment, and 80.9% of parents of asthmatic children were willing to accept the prevention and treatment knowledge of asthma from online or WeChat platform.ConclusionsThe current situation of control asthma in children aged 6-12 years is still not ideal, and the parents' understanding of asthma and standard treatment is low.The awareness and attention of asthma in paediatrics and general practitioners should be strengthened.Improving the level of diagnosis and treatment, strengthening the publicity and education of families of children with asthma, and further using the internet platform to manage and educate children with asthma should be implemented.