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目的探讨健康管理在小儿哮喘间歇期治疗中的作用,为小儿哮喘的诊治及康复提供参考。方法选择2008年1月～2010年4月在海口市人民医院儿科门诊中就医的儿童哮喘患者356例,随机分为健康管理观察组和对照组。对照组家属采取医嘱及康复建议的处理方式,而对观察组在此基础上通过电话随访等督促手段保障家长对该组儿童患者实施有效的健康管理。2年后对所有儿童患者哮喘发作的次数及效果进行评价并对数据进行统计学分析。结果经过2年的比较观察,显效、有效、无效率在经确认未进行有效健康管理的146例患者中分别为17%、31%、52%,在经确认进行有效健康管理的142名患者中为56%、34%、10%。统计学结果显示两组总有效性差异有统计学意义(P﹤0.01)。结论有效的健康管理对儿童哮喘间歇期的延长及儿童哮喘的治愈具有积极的促进作用。
Objective To explore the role of health management in the treatment of pediatric asthma intermittent period and provide a reference for the diagnosis and treatment of pediatric asthma and rehabilitation. Methods 356 children with asthma admitted to pediatric outpatient department of Haikou People’s Hospital from January 2008 to April 2010 were randomly divided into health management observation group and control group. The relatives of the control group took the advice of the doctor and the treatment of the rehabilitation proposal, and on the basis of the observation group, they urged the parents to carry out effective health management on the children in this group through supervisory measures such as telephone follow-up. After 2 years, the frequency and effect of all asthma attacks in children were evaluated and the data were statistically analyzed. Results After 2 years of comparative observation, the effective, effective and inefficiencies were 17%, 31% and 52% in 146 patients confirmed as not having effective health management respectively. Among the 142 patients who were confirmed to have effective health management 56%, 34%, 10%. The statistical results showed that the total effective difference between the two groups was statistically significant (P <0.01). Conclusion Effective health management has a positive effect on the prolongation of intermittent asthma in children and the cure of childhood asthma.