学前喘儿童:导航COVID-19对治疗坚持的影响
Gamze Yalcin1, Sinem Polat Terece2, Sevilay Ozerden Ozcan1
1Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Türkiye.
Turkish archives of pediatrics
|March 17, 2025
概括
在COVID-19大流行期间,学龄前儿童的喘治疗遵守率大幅下降. 通常影响遵守的因素的影响较小,突出显示了大流行.
科学领域:
- 儿科肺病学 儿科肺病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 持续性喘需要长期管理,特别是在学龄前儿童中.
- COVID-19大流行给医疗保健和日常生活带来了前所未有的挑战.
- 了解公共卫生危机期间的治疗坚持对于儿科喘护理至关重要.
研究的目的:
- 为了研究长期喘治疗坚持在学龄前儿童持久性喘.
- 为了比较COVID-19大流行前一年和第一年的坚持率和影响因素.
- 为了确定在大流行期间停止治疗的原因.
主要方法:
- 研究了一组学龄前儿童每天吸入皮质类固醇 (ICS) 治疗持久性喘.
- 通过调查评估了治疗的坚持,停止治疗的原因以及潜在的影响因素 (呼吸道感染,学龄前出勤).
- 医疗记录被用来评估喘恶化和控制.
主要成果:
- 在大流行的第一年,每天吸入皮质类固醇治疗的坚持下降了大约50%.
- 停止治疗的主要原因是缺少喘症状 (90.6%).
- 诸如呼吸道感染,COVID-19暴露,学龄前出勤和吸烟等因素在疫情期间没有显著影响疫情期间的坚持,与疫情前一年的ICS剂量不同.
结论:
- 在持续性喘的学龄前儿童中,吸入性皮质类固醇治疗的坚持在最初的COVID-19流行年减少了一半.
- 在疫情期间,影响治疗坚持的传统因素并不显著.
- 流行病的独特情况可能改变了坚持模式,需要对儿科喘进行修订的管理策略.
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