环境与健康短信预警对儿童变应性鼻炎疗效的影响

陈洁; 李幼瑾; 牟喆; 何珊; 彭丽

doi:10.13201/j.issn.1001-1781.2015.03.005

环境与健康短信预警对儿童变应性鼻炎疗效的影响

- 1 上海交通大学医学院附属儿童医学中心耳鼻咽喉科(上海, 200127);
- 2 上海环境与健康重点实验室上海市浦东新区气象局
基金项目:
2014年上海浦东新区科委开展课题(No:PKJ2013-Y60)

详细信息

通讯作者: 李幼瑾,E-mail:kevinliyoujin@163.com

中图分类号: R765.21

收稿日期: 2014-09-12

The effection of environmental and health message forecasting serive offer to the allergic rhinitis in children

- 1 Department of Otolaryngology, Shanghai Jiaotong University Affiliated Shanghai Children Medical Center, Shanghai, 200127, China;
- 2 Shanghai Key Laboratory of Meteorology and Health, Shanghai Meteorological bureau

More Information

Corresponding author: LI Youjin, E-mail: kevinliyoujin@163.com

Received Date: 12 September 2014

摘要

摘要: 目的:探讨环境与健康短信预警对儿童变应性鼻炎(AR)疗效的影响。方法:选取已确诊的AR患儿100例(干预组),患儿家长采用鼻炎日记的方式,记录患儿每日的AR症状评分,同时由医生群发AR健康预报短信和注意事项,跟踪观察其1年的AR发病情况和疗效;对照组为100例确诊的AR患儿,不记录鼻炎日记,也不进行电话提醒随访,跟踪观察1年的AR发病情况和疗效。结果:干预组有11例患儿家长拒绝入组,共纳入89例,15例家长未记录满1年,74例患儿做满1年的干预和随访。对照组有9例患儿家长拒绝入组,共纳入91例。干预组患儿因AR发作而就诊的次数平均为4.67次,对照组为8.12次,2组间差异有统计学意义(P<0.05)。干预组和对照组在约定的就诊日按时出勤率分别为91.5%和67.0%。患儿家长对药物治疗完成疗程的依从性,干预组为95.6%,而对照组为74.1%,2组间差异有统计学意义(P<0.05)。干预组并发鼻窦炎为26.97%,明显低于对照组64.04%。干预组和对照组分泌性中耳炎的发生率分别为8.99%和6.60%,差异无统计学意义。结论:采用患儿家长记鼻炎日记和医生电话短信提醒随访督促,可以显著提高家长对AR患儿疾病的重视程度,提高预约就诊日的出勤率和患儿对药物治疗的依从性,从而明显降低AR的发作次数和严重程度,改善AR患儿的生活质量。
- 儿童 /
- 鼻炎 /
- 变应性 /
- 气象因素 /
- 环境污染因素
Abstract: Objective: To investigate the impact of environment and message information for the treatment efficacy of children with allergic rhinitis (AR).Method: To choose 100 cases of children diagnosed with AR. The parents of children record daily symptom scores of AR of children everyday.While the doctors send the short message to the parents by using meteorological environment warning forecast technology to tell the parents the risk of AR attacks. We observe the morbidity of AR of the children and the treatment efficacy of children for 1 year. The 100 cases control group children diagnosed AR, their parents do not record daily symptom scores of AR and the doctors do not give the short message. We also observe the morbidity of AR of the control group children and the treatment efficacy of the children for 1 year.Result: The 100 cases intervention group children with AR, there are 11 cases refused to participate the group.We included a total 89 cases, 74 cases of children did a full year of intervention, 15 cases of children gave up. The control group 100 cases, nine cases refused to participate, 91 cases were included. The average episodes in the intervention group was 4.67 times, the control group was 8.12 times, there were significant differences between the groups statistically. The execution rate on the prescribed clinic date in the intervention group visits was 91.5%, while in the control group,was only 67%. The compliance of parents of children to complete course of medication in the intervention group was 95.6%, while the control group was 74.1%. Both sets of data are statistically significant differences. The children with sinusitis in intervention group was 26.97%, significantly lower than the 64.04% in the control group. The incidence in the intervention group and the control group of secretory otitis media was 8.99% and 6.60%, there was no statistically significant differences.Conclusion: It can significantly increase the degree of attention of parents of children with AR that the parents of children record daily symptom scores of AR of children everyday, while the doctors send the short message to the parents by using meteorological environment warning forecast technology to tell the parents the risk of AR attacks. It can also improve the execution rate on the prescribed clinic date and improve compliance of parents of children to complete course of medication. It can significantly reduce seizure frequency and severity of episodes of AR, thereby improving the quality of life of children with AR, reduce the economic burden on families and society.
- children /
- rhinitis /
- allergic /
- meteorological factor /
- enviroment pollution factor

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