ACT与PEF在支气管哮喘缓解期规范化治疗和管理中的应用

目的：探析支气管哮喘控制测试(ACT)与最大呼气峰流速(PEF)在支气管哮喘缓解期规范化治疗和管理中的重要性。方法整群选取该院2013年1月-2015年12月诊治的102例支气管哮喘患者,给予缓解期规范化治疗,2次/d监测患者PEF,复诊1次/月,了解PEF-pred%,调查ACT评分。结果 ACT为0~20分,其PEF-pred%(73.1±6.6)%；ACT为20~25分,其PEF-pred%为(105.2±9.3)%,比较差异有统计学意义,P<0.05。 PEF-pred%<80%,其ACT评分为(16.8±1.2)分；PEF-pred%>80%,其ACT评分为(24.8±1.1)分,比较差异有统计学意义,P<0.05；以Pearson进行相关性分析, ACT与PEF-pred%之间呈现线性相关性,其相关系数为r=0.583,P<0.001。结论支气管哮喘缓解期,PEF与ACT之间的相关性良好,对于无条件进行PEF监测的患者可采取ACT评分作为评估病情的指标,进而更好的指导患者规范化治疗和管理。

ACT and PEF in Asthma Remission Standardized Treatment and Manage-ment Application

Objective Analysis of Bronchial Asthma Control Test (ACT) and peak expiratory flow (PEF) in bronchial asthma remission standardized treatment and management importance.Methods Group selection our hospital in January 2013 - De-cember 2015 Diagnosis and treatment of 102 patients with bronchial asthma, remission given standardized treatment, twice daily monitoring of patient PEF, visit once a month to learn PEF-pred%, the survey ACT score. Results ACT 0 to 20 points, its PEF-pred%(73.1± 6.6)%; ACT 20-25 minutes, the PEF-pred% of (105.2±9.3)%, the difference was significant, P<0.05. PEF-pred% <80%, which the ACT score was (16.8 ±1.2) points; PEF-pred%> 80%, which the ACT score was (24.8±1.1) points, the difference was significant, P<0.05; Pearson's correlation analysis, ACT and PEF-pred presented lin-ear correlation between%, a correlation coefficient of r=0.583,P<0.001.Conclusion Bronchial asthma in remission stage and good correlation between PEF and act, for the unconditional of PEF monitoring of patients can be taken to act as a condi-tion assessment index score and better guiding patients with standardized treatment and management.