喘儿童在家中使用短效β激动剂:一个多中心数字前性研究
Apolline Gonsard1, Lisa Giovannini-Chami2, Pierrick Cros3
1Department of Pediatric Pulmonology and Allergology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France.
Archives of disease in childhood
|April 1, 2025
概括
患有喘的孩子的父母经常使用2-4口沙尔布塔摩尔来缓解症状. 喘行动计划应该更新以反映这种常见做法,以更好地与现实世界喘管理保持一致.
科学领域:
- 儿科肺病学 儿科肺病学
- 喘管理 喘管理
- 数字健康数字健康
背景情况:
- 喘是儿童常见的慢性呼吸道疾病.
- 书面喘行动计划 (WAAP) 指导家庭治疗喘症状.
- 了解现实世界的药物使用对于有效的喘护理至关重要.
研究的目的:
- 调查家庭中患有喘的儿童实际使用沙布他的情况.
- 为了比较儿童在现实生活中使用的沙布他与他们处方的喘行动计划 (WAAP).
主要方法:
- 在法国五家医院进行了一项多中心的观察前性研究.
- 120名患有喘的儿童 (3-11岁) 参与了这项研究.
- 父母通过智能手机应用程序和智能吸入器在6个月内记录了salbutamol的使用和症状.
主要成果:
- 43个家庭记录了124个萨尔布塔摩尔使用事件.
- 萨尔布塔摩尔的中位使用量是症状出现后2小时内3次吸血 (IQR2-4).
- 49%的家庭使用的口罩比WAAP规定的少,而9%使用的更多.
结论:
- 家庭在现实世界中使用萨尔布塔摩尔通常涉及2至4次喘息喘息症状.
- 当前的WAAP可能与常见的家庭惯例不一致.
- 调整WAAP以最初推2至4次呼吸可以更好地匹配家庭行为并改善喘管理.
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