摘要目的 探讨儿童呼吸和哮喘控制测试(TRACK)改良中文版与哮喘儿童的潮气呼吸肺功能参数的相关性,并评估哮喘控制水平和监测病情变化的可靠性.方法 选择2018年3月至2018年9月新乡市中心医院收治的69例儿童支气管哮喘患者,分别在初诊、治疗后1个月复诊时进行TRACK问卷及潮气呼吸肺功能检测.结果 TRACK改良中文版初诊与复诊时的格朗巴赫系数分别为0.641、0.635;TRACK得分与达峰时间比(TPTEF/TE)、达峰容积比(VPEF/VE)存在一致性(W=0.349,P<0.05);不同哮喘控制组TPTEF/TE、VPEF/VE、TRACK得分间比较差异有统计学意义(P<0.05);TPTEF/TE、VPEF/VE、TRACK得分在初诊、复诊时差异均有统计学意义(P均<0.05).结论 TRACK改良中文版对哮喘控制水平有良好的鉴别能力,应用TRACK改良中文版评估儿童支气管哮喘病情变化有可行性.

abstractsObjective To investigate the correlation between the modified test for respiratory and asthma control in kids ( TRACK) , Chinese version and lung function test index of children with asthma, so as to evaluate the feasibility of modified TRACK, Chinese version in monitoring the condition of children with asthma. Methods Sixty-nine bronchial asthmatic children admitted to Xinxiang Central Hospital from March 2018 to September 2018 were selected for TRACK questionnaire and tidal breathing pulmonary function test at initial diagnosis and one month after treatment. Results The Cronbach's index of modified TRACK, Chinese version was 0. 641 at initial diagnosis and 0. 635 at follow-up visit, respectively. TRACK score was in consistence with the ratio of peak expiratory flow time to total expiratory time ( TPTEF/TE ) and ratio of volume to peak expiratory flow to tatal expiratory volume (VPEF/VE) (W =0. 349, P<0. 05). There were significant statistical differences in TPTEF/TE, VPEF/VE and TRACK scores among different asthma control groups ( P<0. 05 ) . The scores of TPTEF/TE, VPEF/VE and TRACK at first and second visits had statistical significance ( P<0. 05 ) . Conclusions The modified TRACK, Chinese version has a good ability to identify asthma control level, and it is feasible to evaluate the changes of children's bronchial asthma by modified TRACK, Chinese version.