摘要
目的 :比较缓解期支气管哮喘不同治疗目标的实现率 ,探讨仅以自觉症状为治疗目标是否导致治疗不足够。方法 :以 10 3例临床上已获得控制的支气管哮喘患者为对象 ,对长期管理目标中的 1无自觉症状 ;2 FEV1 / FVC≥ 70 % ;3峰流速的最低值不低于最大值的 80 %等 3个目标的实现率进行比较。结果 :观察期后完全没有症状的为 72 % ,就诊时的 FEV1 / FVC≥ 70 %的为 83% ,保持最低 PEF≥最大值的 80 %者为 6 6 %。3个目标中 ,以 PEF最难达到。结论 :仅以自觉症状和一秒量比用力肺活量为管理目标时 ,有可能导致治疗不充分 。
Objective:To evaluate the validity of symptoms, FEV1/FVC and peak flow in the management of chronic asthma patients Methods: One hundred and three patients with chronic asthma who had been treated with inhaled steroids were studied Symptoms were considered to have been controlled if the symptoms scores for the preceding four weeks were greater than or equal to 20; FEV1/FVC was considered to have been controlled if it was geater than or equal to 70 %; peak flow was considered to have been controlled if the lowest peak flow in the preceding four weeks was greater than or equal to 80% of the highest measured value Results: Symptoms were controlled in 72% of the patients, FEV1/FVC was controlled in 83%, and peak flow was controlled in 66% Furthermore, in 18 out of 64 (28%) patients in whom symptoms and FEV 1/FVC were controlled, but the peak flow was not controlled Conclusion: In the management of chronic asthma patients, we should not only control the symptoms, but also measure the peak flow each day to avoid undertreatment
出处
《华夏医学》
2003年第1期4-6,共3页
Acta Medicinae Sinica
关键词
支气管哮喘
峰流速
糖皮质激素
bronchial asthma
peak expiratory flow rate
corticosterid
