Honorary Associate Clinical Professor, University of Nottingham, Derbyshire Children's Hospital, Derby, UK.
Paediatr Respir Rev. 2013 Dec;14(4):229-31. doi: 10.1016/j.prrv.2013.06.007. Epub 2013 Aug 3.
It is important to achieve asthma control whenever possible in clinical practice. Asthma control questionnaires undoubtedly provide a useful measure of asthma control in research studies but their place in routine clinical practice has yet to be secured. There is considerable variation in the results yielded from different validated asthma control tools. It remains to be seen whether they improve the reliability of reporting of symptoms to health care professionals when compared to verbal reporting. In the presence of sensible care from compassionate and well informed doctors and nurses asthma control questionnaires will not improve outcomes for children. A patient-focused clinical encounter supplemented with lung function measurements and occasional eNO testing has more to offer families and children than control questionnaires and their routine use in the clinic cannot be recommended on the basis of current evidence.
在临床实践中，尽可能实现哮喘控制非常重要。哮喘控制问卷无疑为研究中哮喘控制提供了一种有用的衡量方法，但它们在常规临床实践中的地位尚未得到确定。不同经过验证的哮喘控制工具所产生的结果存在很大差异。与口头报告相比，它们是否能提高向医护人员报告症状的可靠性，还有待观察。在医生和护士的体贴关怀下，只要接受合理的治疗，哮喘控制问卷对儿童的治疗效果并无帮助。以患者为中心的临床诊疗方法，结合肺功能检测和偶尔的 eNO 测试，比控制问卷能为患者及其家属提供更多帮助，因此，基于目前的证据，不能推荐在常规临床中使用哮喘控制问卷。
