VALUE OF C-ACT IN THE PERIODICAL FOLLOW-UP MANAGEMENT AND THE EVALUATION FOR CONTROL LEVEL OF CHILDHOOD ASTHMA
Objective To explore the value of childhood asthma control test (C-ACT) in the follow-up management of children's outpatient visits and evaluation for the control level of childhood asthma.Methods Eighty-four children with bronchial asthma were randomly divided into C-ACT group (n=42) and routine group (n=42).The two groups were treated with drug therapy in accordance with Global Initiative for Asthma (2008).The C-ACT group was assessed with the C-ACT scoring system once every 2 weeks,and received regular follow-up in outpatient department.The patients with a C-ACT score of ≥19 should see a doctor in time.The routine group was assessed with the C-ACT scoring system before treatment and after 1 and 3 months of treatment,rejecting the treatment guided by the C-ACT score.Results The C-ACT score in the C-ACT group were significantly higher than that in the routine group after 1 and 3 months of treatment (t =2.675,2.591;P＜0.05).After 3 months of treatment,the asthma control level in the C-ACT group was significantly better than that in the routine group (Z=2.225,P＜0.05),and the forced expiratory volume in the first second and the percentage of peak expiratory flow rate in the predicted value were significantly higher in the C-ACT group than in the routine group (t =2.673,3.549;P ＜0.05).At months 1 and 3 of treatment,C-ACT score had a significant positive correlation with asthma control level (r=0.850,0.786;P＜0.05).Conclusion C-ACT plays an important role in regular follow-up management and disease control in children with asthma,and can provide guidance for the treatment of childhood asthma.
NETL
NSTL
万方数据
维普
