Lahdensuo A, Haahtela T, Herrala J, Kava T, Kiviranta K, Kuusisto P, Perämäki E, Poussa T, Saarelainen S, Svahn T
Department of Pulmonary Diseases, Tampere University Hospital, Pikonlinna, Finland.
BMJ. 1996 Mar 23;312(7033):748-52. doi: 10.1136/bmj.312.7033.748.
To compare the efficacy of self management of asthma with traditional treatment.
12 month prospective randomised trial.
Outpatient clinics in Finland.
115 patients with mild to moderately severe asthma.
Patient education and adjustment of anti-inflammatory therapy guided by peak flow measurements.
Unscheduled admissions to hospital and outpatient visits, days off work, courses of antibiotics and prednisolone, lung function, and quality of life.
The mean number of unscheduled visits to ambulatory care facilities (0.5 v 1.0), days off work (2.8 v 4.8), and courses of antibiotics (0.4 v 0.9) and prednisolone (0.4 v 1.0) per patient were lower and the quality of life score (16.6 v 8.4 at 12 months) higher in the self management group than in the traditionally treated group. In both groups admissions for asthma were rare.
Self management reduces incidents caused by asthma and improves quality of life.
比较哮喘自我管理与传统治疗的疗效。
为期12个月的前瞻性随机试验。
芬兰的门诊诊所。
115例轻至中度重度哮喘患者。
通过峰值流量测量指导患者教育和调整抗炎治疗。
非计划住院和门诊就诊次数、误工天数、抗生素和泼尼松龙疗程、肺功能及生活质量。
自我管理组患者每位患者非计划门诊就诊设施的平均次数（0.5对1.0）、误工天数（2.8对4.8）、抗生素疗程（0.4对0.9）和泼尼松龙疗程（0.4对1.0）均较低，且生活质量评分（12个月时为16.6对8.4）高于传统治疗组。两组因哮喘住院的情况均很少见。
自我管理可减少哮喘引发的事件并改善生活质量。
