Battu K, Collins-Williams C, Zaleskey C
J Asthma. 1982;19(1):33-7. doi: 10.3109/02770908209104726.
The amount of medication required to control asthmatic wheezing varies from patient to patient. While the amount required can be assessed clinically from history and physical examination, an objective measurement to assess the patient's requirements is highly desirable. For this purpose the mini-Wright peak flow meter was used. The patient was shown in the office how to use the meter and then sent home to use the meter three times daily for 2 weeks and record each reading on the chart provided. After 2 weeks the chart and meter were mailed to the office where the patient's readings were compared with normal values. Then the patient's medications could be adjusted if necessary. A study of 55 patients showed that this is a very valuable method to assist the practicing physician in prescribing sufficient medication for adequate control, particularly in those patients who minimize their symptoms, either intentionally or unintentionally, so that the physician cannot make an adequate judgment. It was also very useful for convincing the parents or patients that continuous medication is necessary in many cases where they felt PRN medication to be sufficient. The use of this instrument should become a routine part of the management of all difficult asthmatic patients.
控制哮喘喘息所需的药物剂量因人而异。虽然所需剂量可通过病史和体格检查进行临床评估，但非常需要一种客观的测量方法来评估患者的需求。为此使用了小型赖特峰值流量计。在办公室向患者展示如何使用该仪器，然后让患者带回家，每天使用三次，持续两周，并将每次读数记录在提供的图表上。两周后，将图表和仪器邮寄回办公室，将患者的读数与正常值进行比较。然后如有必要，可调整患者的药物治疗。对55名患者的研究表明，这是一种非常有价值的方法，可帮助执业医师开出足够的药物以实现充分控制，特别是对于那些有意或无意减轻症状，导致医师无法做出充分判断的患者。在许多患者认为按需用药就足够的情况下，它对于说服父母或患者认识到持续用药的必要性也非常有用。该仪器的使用应成为所有难治性哮喘患者管理的常规组成部分。
