Combined Application Of Asthma Journal, Corresponding Monitoring Of Pulmonary Ventilation Function And Asthma Control Test In The Management Of Patients With Bronchial Asthma

Bronchial asthma(asthma) is one of the chronic disease,its morbidity and mortality throughout the world are very high, there is evidence that a significant increase in incidence of asthma in the past 20 years[1,2,3 ].GINA puts forward asthma treatment goal is to achieve and maintain control of asthma[4]. However, in recent years, although correct diagnosis and treatment of asthma has increased, but the accuracy of assessment and treatment effectiveness for each of asthma patients is also very low, the success rate of asthma control is still far from our expectations. Whether using guide control assessment or ACT questionnaire, ACQ questionnaire to evaluate control in patients with asthma, Even accepted according to the guidelines for the classification treatment of asthma, to achieve complete control of the proportion very small, The world is only about 5% of asthma patients achieve complete control[5,6].Considerable limited daily activity in patients with asthma, patients without reservation to the outpatient service, emergency medical consultations are still high, burden on society caused by disease increasing[7], the progress of treatment does not improve the success rate of asthma control, did not reduce overall mortality of asthma[8,9,10].Asthma control success rate is low, this kind of situation we analyzed that the reason is various, such as patients’ treatment compliance、 the doctor on the accuracy of the condition assessment、cognitive level for the specific type of asthma、 patients can’t accurate perception degree of airway obstruction、 the reliability of pulmonary function test and so on are the causes of treatment success rate low and control rate low[11,12].Objective: Explore the value of asthma journal, pulmonary ventilation function and ACT joint application in the management of asthma.Methods: Into the group of 273 patients with asthma, first carried out in accordance with the guidelines for the current classification standard classification and continue to perform the original treatment plan. Finish first week-long corresponding monitoring of asthma journal and pulmonary ventilation function, Asthma control test carried out on the patient(ACT score), asthma symptoms perception parting, the illness severity classification. According to the classification and grading situation adjust the treatment plan. Three months after treatment, the completion of the second asthma journal and pulmonary ventilation function of the corresponding monitoring and ACT scores, according to the monitoring results compared with the results for the first time, to evaluate the value of this research.Results: Into the group of 273 patients, 265 cases of complete corresponding monitoring for the first time.Removal of 9 cases of special type of asthma patients, among 256 cases of asthma patients, only 126 cases can be graded by the Guide for Prevention and Treatment of Bronchial Asthma. Found 62 cases of asthma symptoms perception sensitive patients, 68 cases of asthma symptoms perception dull type. Adjust treatment according to classification and grading, after three months of 252 cases of complete corresponding monitoring for the second time.126 cases of normal perception in patients with asthma, including 1 case to sensitive type of asthma,2 cases out of the second monitor, The rest of the 123 patients with symptoms of normal perception, ACT score increased significantly after treatment(P< 0.05), FEV1 and PEF % also improved significantly(P< 0.05). 68 cases of asthma symptoms perception dull type, except for 1 case out of the second corresponding monitoring, 67 patients with asthma symptoms perception dull type’s airway obstruction was significantly improved after treatment,FEV1 and PEF % improved significantly(P< 0.05). 62 patients with symptoms of sensitive perception, there are 5 cases in proper group symptoms perception, 1 case of exit corresponding monitoring for the second time, the rest of the 56 patients with asthma symptoms perception sensitive, tired after treatment the symptoms integral, but no statistical significance(P> 0.05).Conclusion: In the management of patients with asthma, joint application asthma journal, corresponding monitoring of pulmonary ventilation function and asthma control test, clinical results can achieve the following :1 To explore the identification method of asthma with different symptoms perception types2 Has been clear about the correlation between them: self-conscious symptom in patients with asthma of different symptoms perceptionand types and pulmonary ventilation function3 Improve the patients of asthma severity and the accuracy of the assessment on the level of control4 According to the classification and grading in patients with asthma to treatment, significantly improve the ACT scores in patients with asthma symptoms perception normal type, FEV1% and PEF % also improved significantly; Obviously improve the degree of airway obstruction in patients with asthma symptom perception dull.