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目的评价哮喘控制测试(asthma control test,ACT)联合峰流速仪在支气管哮喘患者管理中的应用效果。方法对73例进行哮喘控制测试,同时应用简易峰流速仪监测呼气峰流速的支气管哮喘患者的临床资料进行回顾性分析,观察其在哮喘患者管理中的作用。结果 73例患者治疗前症状完全控制率27.4%,部分控制率28.8%,治疗6个月后症状完全控制率57.5%,部分控制率24.6%,治疗前后比较ACT评分、PEF、PEF%预计值、FEV1、FEV1%预计值、FVC、FVC%预计值差异有统计学意义。结论哮喘控制测试联合呼气峰流速测定更能准确、全面地反映病情,适用于医务人员及患者本人对病情的评估,对于哮喘患者的管理具有较好的指导作用。
Objective To evaluate the effect of combined asthma control test (ACT) and peak current meter in the management of asthma patients. Methods 73 cases of asthma control test, while the application of simple peak velocity meter monitoring peak flow of bronchial asthma in patients with clinical data were retrospectively analyzed to observe its role in the management of asthma patients. Results Before treatment, the complete symptom control rate was 27.4%, partial control rate was 28.8%, symptoms complete control rate was 57.5% and partial control rate was 24.6% after 6 months of treatment. The ACT score, PEF and PEF% FEV1, FEV1% predicted value, FVC, FVC% predicted difference was statistically significant. Conclusion The combination of asthma control test and peak expiratory flow velocity measurement can reflect the condition more accurately and comprehensively, and is suitable for medical staff and patients themselves to evaluate the condition, which has a good guidance for the management of asthma patients.