哮喘控制测试在社区基层医院老年支气管哮喘患者中的应用价值

目的评估哮喘控制测试(asthma control test，ACT)在社区基层医院老年支气管哮喘（简称哮喘）患者中的应用价值。方法对我院128例老年哮喘患者随诊监测，在患者进行肺功能测试时进行ACT，同时由医师根据2009年我国《支气管哮喘防治指南》的评估标准，对患者的哮喘控制水平进行评估。根据评估结果评价ACT方法...

Validity of asthma control test questionnaire at primary-care settings in elder bronchial asthma patients

Objective The study aims to the validity of asthma control test (ACT) questionnaire at the primary-care settings in elder asthma patients. Methods ACT questionnaire survey and pulmonary function tests were performed for 128 asthma patients at our primary-care settings, and their status of asthma control was assessed by the doctors for asthma based the criteria formulated. Results All the elder asthma patients completed the ACT, 482 times ACT and asthma control status were performed. ACT scores correlated with the results of doctors' rating for asthma patients,with a coefficient of correlation of 0.647 and Kappa values is 0.354 (P ＜0.05). There was a statistically significant difference in ACT scores between groups of patients with varied predicted ratios of forced expiratory volume at first second to forced vital capacity,doctors' ratings of asthma control and adjusted treatment regimens. Conclusions ACT questionnaire can be used at the primary-care settings to assess asthma control and also can be used in in elder asthma patients feasibly.