Abstract: Objective To understand the effect of exercise prescriptions on the condition control of asthmatic children,so as to provide evidence for the appropriate application of exercise prescriptions in the management of asthma in children. Methods A total of 156 asthmatic children in outpatient of Children's Hospital of Chongqing Medical University from June 2017 to June 2018 were enrolled in this study,and were randomly divided into exercise group(n=80) and control group(n=76).Both groups received medication therapy,and the exercise group was given exercise prescriptions additionally.After 3 months of intervention,related indicators were compared between the two groups,including the daytime and nighttime asthma symptom scores,the emergency medication score,the participation in physical activity and adverse reactions,the asthma quality of life scale score,and lung function changes. Results The daytime and nighttime asthma symptom scores,as well as the medication scores of the exercise group were significantly lower than those of the control group after exercise prescrispton(t=-3.25,-2.27,-26.69,P＜0.05).While the asthma quality of life scale scores of the exercise group were significantly higher than those of the control group(t=3.39,22.44,4.50,P＜0.05).There was no significant differences on lung function between the two groups except peak expiratory velocity(PEF) after exercise prescription(P＞0.05).Moreover,no serious adverse reactions were observed in the exercise group during the trial. Conclusion Exercise prescription is safe and effective for the control of asthma in children,so it should be promoted and applied in clinical practice.

Key words: exercise prescription, asthma, children, Asthma Quality Life Questionnaire, Asthma Control Questionnaire

摘要： 目的 了解运动处方对哮喘患儿病情控制的作用,为患儿在日常哮喘管理中合理地应用运动处方提供依据。方法 选取2017年6月—2018年6月于重庆医科大学附属儿童医院门诊就诊的哮喘患儿156例,随机分为运动组(80例)和对照组(76例)。两组患儿均给予药物治疗,运动组患儿同时给予运动处方,持续3个月后比较两组患儿日间及夜间症状评分、应急用药评分、运动情况及其过程中出现的不良反应、哮喘生命质量量表评分、肺功能变化。结果 运动组日间及夜间症状评分、应急用药评分均低于对照组(t=-3.25、-2.27、-26.69,P＜0.05);试验后运动组哮喘生命质量评分中症状、活动受限、情感功能评分均高于对照组(t=3.39、22.44、4.50,P＜0.05);两组患儿肺功能比较除呼气峰流速(PEF)外,其余指标差异无统计学意义(P＞0.05);观察期间运动组无严重不良反应发生。结论 运动处方对哮喘患儿的病情控制安全有效,应该在临床工作中推广应用。

关键词: 运动处方, 哮喘, 儿童, 哮喘患者生命质量问卷, 哮喘控制问卷