一个选择的儿科喘患者群体的长度研究,在基线时具有正常和异常的螺旋测量:强调治疗结果
Sornsiri Yimlamai1, Kanokpan Ruangnapa1, Wanaporn Anuntaseree1
1Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.
Journal of asthma and allergy
|January 25, 2024
概括
在患有喘的儿童中,异常的螺旋测量结果很常见,但不能预测不良结果. 根据症状或螺旋计调整喘控制器,产生了类似的长期疾病控制.
科学领域:
- 儿科肺病学 儿科肺病学
- 喘管理 喘管理
- 临床研究 临床研究
背景情况:
- 儿童的喘控制通常依赖于临床评估.
- 螺旋计在指导儿童群体的喘控制器调整中的作用尚未得到充分证实.
- 有限的儿科研究存在使用异常螺旋计用于疾病管理.
研究的目的:
- 为了确定患有喘的儿童中异常螺旋计的患病率.
- 评估异常螺旋计对纵向喘结果的影响.
- 评估螺旋计是否有助于调整儿童的喘控制药物.
主要方法:
- 在泰国Songklanagarind医院进行的回顾性队列研究.
- 包括患有喘的儿童 (<18岁) 和带有支气管扩展剂响应 (BDR) 测试的螺旋测量.
- 在12个月内分析了正常和异常螺旋计组之间的结果差异.
主要成果:
- 在203名儿科喘患者中,58.1%发现异常螺旋计 (气流限制或BDR).
- 螺旋测量组之间的基线特征,亚托皮,治疗或结果没有显著差异.
- 基于螺旋计或症状的调整导致可比的12个月的疾病控制.
结论:
- 在接受治疗的患有喘的学龄儿童中,异常螺旋测量是普遍存在的.
- 在随访期间,异常的螺旋计与较差的喘结果没有相关性.
- 基于症状和基于螺旋计的控制器调整实现了类似的喘控制.
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