标题：健康管理模式对康复期儿童哮喘性疾病患者肺功能的影响

      作者：陈芳，陈实，李莉
    (海南省人民医院儿科，海南 海口 570311)

      卷次： 2016年27卷4期

      【摘要】 目的 观察不同干预模式对儿童哮喘性疾病康复期肺功能动态变化，并探讨健康管理措施的应用价
值。方法 选择 2014年 1月至 2015年 1月在我院儿科接受治疗的哮喘性疾病康复期儿童患者 146例，以数字随
机表法将患者分为观察组和对照组各 73例。观察组采用健康管理模式进行干预，对照组采用常规管理模式进
行干预。对比两组患儿哮喘性疾病康复情况，同时对不同时间段的肺功能指标进行监测，最后对所有患儿干预
满意度进行问卷调查。结果 观察组完全控制患儿比例为 56.16% (41/73)，高于对照组的 30.14% (22/73)，差异
有统计学意义(P<0.05)；两组干预前第 1秒用力呼气量(FEV1)、最大呼气流速峰值(PEF)、用力呼气 75%流速
(FEF75)、最大呼气中期流速(MMEF75/25)等肺功能水平比较差异均无统计学意义(P>0.05)，而分别干预1个月、3个月
后，观察组患者的FEV1、PEF、FEF75水平高于对照组，MMEF75/25水平低于对照组，差异均有统计学意义(P<0.05)；观
察组非常满意患儿比例以及满意度分别为 49.32% (36/73)及 91.78% (67/73)，明显高于对照组的 24.66% (18/73)
及 73.97% (54/73)，差异均有统计学意义(P<0.05)。结论 采用健康管理措施后能显著提高肺功能以及康复效果，
同时保证干预的满意度，适合在临床上推广应用。

      【关键词】 儿童；哮喘性疾病；康复期；肺功能；健康管理模式

      【中图分类号】 R725.6 【文献标识码】 A 【文章编号】 1003—6350（2016）04—0583—03


Influence of health management mode on pulmonary function in children with asthma in rehabilitation stage.
CHEN Fang, CHEN Shi, LI Li.
Department of Pediatrics, People's Hospital of Hainan Province, Haikou 570311, Hainan,
CHINA

【Abstract】 Objective To observe the dynamic changes of pulmonary function in children with asthma under
different intervention mode, and discuss the value of health management. Methods A total of 146 children with asthma
in rehabilitation stage, who were treated in our hospital from January 2014 to January 2015, were randomly divided into
observation group and control group by digital random table, with 73 children in each group. The observation group used
health management mode for intervention, and the control group applied routine management mode for intervention. The
rehabilitation of the disease, pulmonary function indicators of different time periods were monitored, and the satisfaction
degree of all the children were investigated by questionnaire. Results The percentage of total control in the observation
group was 56.16% (41/73), which was significantly higher than that in the control group of 30.14% (22/73) (P<0.05).
There was no statistically significant difference in lung function indexes between the two groups before intervention (P>
0.05), including peak expiratory flow rate (PEF), forced expiratory flow at 75% of vital capacity (FEF75), maximal
mid-expiratory flow rate (MMEF75/25) and forced expiratory volume in 1 second (FEV1). After 1 month and 3 months of
intervention, the levels of PEF, FEF75 and FEV1 in the observation group were significantly higher than those in the con-
trol group, and the level of MMEF75/25 was significantly lower than that in the control group (P<0.05). The proportion
of patients who were very satisfied and the satisfaction degree was 49.32% (36/73) and 91.78% (67/73) in the observa-
tion group, which was significantly higher than 24.66% (18/73) and 73.97% (54/73) in the control group (P<0.05).
Conclusion Health management mode can improve lung function and rehabilitation effect after health management,
and ensure the satisfaction degree of patients, which is suitable for clinical application.

      【Key words】 Children; Asthma; Rehabilitation stage; Pulmonary function; Health management model
·论 著·
6350.2016.04.022