对哮喘控制的检测是患者管理的第一步：文献综述
2009/11/17
哮喘控制是评价和治疗哮喘的关键步骤。本文评价并比较了现有的检测哮喘控制的工具，以期评价其在临床中的应用价值。根据文献检阅，确定用于成人哮喘控制的有效评价工具。我们特别对每种评价工具的检测特点、优势及其不足进行评价，同时进一步选取哮喘控制问卷调查（ACQ）为例，评价其在临床的应用价值。我们共确定5个用于哮喘控制检测的工具：哮喘控制问卷调查(ACQ)、哮喘控制评分系统(ACSS)、哮喘控制测试(ACT)、哮喘治疗评价问卷调查(ATAQ)以及Lara哮喘症状量表(LASS)。没有一个工具涵盖了所有哮喘控制相关的特征，但以控制定义为指导，包括了大部分特征。所有工具均显示其在检测哮喘控制上有效且患者具有较好的反应性及较好的可信度。所有工具简洁，使用方便，易于阐述，证实所有工具均有益于临床决策的选择。
（苏楠 审校）
J Asthma. 2009 Sep;46(7):659-664.
Measuring asthma control is the first step to patient management: a literature review.
Halbert RJ, Tinkelman DG, Globe DR, Lin SL.
Department of Community Health Sciences, UCLA School of Public Health, Los Angeles, California 90066, USA. halbert@ucla.edu
Asthma control is recognized as a critical aspect of the evaluation and management of the disease. Here we evaluate and compare existing instruments for measuring asthma control in an attempt to evaluate their clinical utility. Based on a literature review, we identified validated instruments used to assess asthma control in adults. We examined the specific measurement properties and the strengths and weaknesses of each instrument, and evaluated a single instrument, the Asthma Control Questionnaire (ACQ), more closely as an example, evaluating its applicability in the clinical setting. Our review identified five validated instruments designed to measure asthma control: the Asthma Control Questionnaire (ACQ), Asthma Control Scoring System (ACSS), Asthma Control Test (ACT), Asthma Therapy Assessment Questionnaire (ATAQ), and the Lara Asthma Symptom Scale (LASS). None of the instruments covered all relevant control characteristics, but most were aligned with guideline definitions of control. All instruments demonstrated validity and responsiveness, with some measure of reliability. All instruments were short and easily administered, easy to interpret, and all had evidence to support their use in clinical decision making.
J Asthma. 2009 Sep;46(7):659-64.
（苏楠 审校）
J Asthma. 2009 Sep;46(7):659-664.
Measuring asthma control is the first step to patient management: a literature review.
Halbert RJ, Tinkelman DG, Globe DR, Lin SL.
Department of Community Health Sciences, UCLA School of Public Health, Los Angeles, California 90066, USA. halbert@ucla.edu
Asthma control is recognized as a critical aspect of the evaluation and management of the disease. Here we evaluate and compare existing instruments for measuring asthma control in an attempt to evaluate their clinical utility. Based on a literature review, we identified validated instruments used to assess asthma control in adults. We examined the specific measurement properties and the strengths and weaknesses of each instrument, and evaluated a single instrument, the Asthma Control Questionnaire (ACQ), more closely as an example, evaluating its applicability in the clinical setting. Our review identified five validated instruments designed to measure asthma control: the Asthma Control Questionnaire (ACQ), Asthma Control Scoring System (ACSS), Asthma Control Test (ACT), Asthma Therapy Assessment Questionnaire (ATAQ), and the Lara Asthma Symptom Scale (LASS). None of the instruments covered all relevant control characteristics, but most were aligned with guideline definitions of control. All instruments demonstrated validity and responsiveness, with some measure of reliability. All instruments were short and easily administered, easy to interpret, and all had evidence to support their use in clinical decision making.
J Asthma. 2009 Sep;46(7):659-64.
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