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针对哮喘儿童的暑假夏令营——一项评估尝试(作者译)

[Summer holiday camps for asthmatic children--an attempted assessment (author's transl)].

作者信息

Götz M, Deutsch J, Singer P

出版信息

Wien Klin Wochenschr. 1978 Oct 13;90(19):699-702.

PMID:695665
Abstract

118 schoolchildred (males:females = 2.5 : 1) with bronchial asthma--defined as recurrent allergic or non-allergic expiratory dyspnoea--were investigated as regards their clinical course, frequency of asthma attacks, exercise tolerance, anti-asthmatic drug requirements and spirometric changes during and after participation in specialized holiday programmes during the summer months in 1974, 1975, and 1976. Clear-cut improvement was observed with regard to asthma attack frequency (up to nearly 100%) and drug requirements (up to 76%). Steroid dependence was observed in most cases. No significant spirometric improvement was demonstrable. All data require critical evaluation and interpretation in view of seasonal variations in asthmatic manifestation and the influence of environmental factors. On reviewing the results it is concluded that treatment of the asthmatic child by supervised high altitude holidays (1400 m above seal level), combined with physical training and a respirator re-education programme, is still a justified therapeutic approach, but it cannot replace specific therapy laid down on the basis of careful diagnostic testing. Particpation of the asthmatic child in school gym classes is recommended. Abstention from physical exercis due to a misplaced protective attitude is not beneficial in most cases.

摘要

118名支气管哮喘学童(男:女 = 2.5 : 1)——定义为复发性过敏性或非过敏性呼气性呼吸困难——就其临床病程、哮喘发作频率、运动耐量、抗哮喘药物需求以及在1974年、1975年和1976年夏季参加专门假期项目期间及之后的肺功能变化进行了调查。在哮喘发作频率(高达近100%)和药物需求(高达76%)方面观察到明显改善。大多数病例观察到类固醇依赖。未证实有显著的肺功能改善。鉴于哮喘表现的季节性变化和环境因素的影响,所有数据都需要进行批判性评估和解读。在回顾结果时得出结论,对哮喘儿童进行有监督的高海拔假期(海拔1400米以上)治疗,结合体育锻炼和呼吸再教育计划,仍然是一种合理的治疗方法,但它不能取代基于仔细诊断测试制定的特异性治疗。建议哮喘儿童参加学校体育课。在大多数情况下,因保护态度不当而避免体育锻炼并无益处。

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