哮喘孕妇的峰流速值监测

2008/09/28

    哮喘是妊娠期间最常见的内科并发症之一。哮喘控制与围产期情况的改善有相关性。临床推荐的PEF测定能够判断哮喘的状态,但是哮喘妇女的正常PEF值文献中还没有报道。这一研究是确定妊娠哮喘妇女的PEF正常值。研究入选了43例妊娠20周的孕妇。收集人口数据,包括年龄、种族、背景和妊娠的次数,记录患者哮喘的分型、严重程度、哮喘用药和过去因哮喘加重而住院的情况。妊娠期间每经过3个月PEF值均有增加,显示出有意义的差别是第一个3月妊娠和第三个3月妊娠PEF值之间差别为>0.001,第二个3月妊娠和第三个3月妊娠PEF值之间差别为>0.007。这一研究的发现与以往的那些关于非哮喘孕妇的研究是相反的。
 
                      (苏楠 卫生部中日友好医院呼吸内科 100029 摘译)
                      Clin Nurs Res.2008 Aug;17(3):174-181.)
 
 
Peak flow values by gestation in women with asthma.
Clin Nurs Res. 2008 Aug;17(3):174-81.
Beckmann CA.
College of Nursing, Rutgers University, Newark, New Jersey 07102-1897, USA. cbeckman@rutgers.edu
Asthma is one of the most common medical complications of pregnancy. Asthma control is associated with improved perinatal outcomes. Peak flow measures have been recommended to determine the status of asthma, yet norms for peak flow values in women with asthma are missing from the literature. The purpose of this study was to determine average peak flow values in pregnant women with asthma. Forty-three women were recruited into the study prior to the 20th week of pregnancy. Demographic data, including age, ethnic background, and number of pregnancies, were collected. Type and severity of asthma, medications used for asthma, and past hospitalizations for asthma were recorded. Peak flow values increased across the three trimesters. Significant differences were found in peak flow values between the first and third trimesters (>.001) and the second and third trimesters (>.007). Findings from the present study contradict those of studies on pregnant women without asthma.


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