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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Medications used by children with asthma living in the inner city.
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Medications used by children with asthma living in the inner city.

机译：居住在内城区的哮喘儿童使用的药物。

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OBJECTIVE: The purpose of the study was to examine medication use reported by families participating in an urban school-based community intervention program and to relate this use to other social and medical variables. DESIGN: The design of the study was a cross-sectional questionnaire survey. SETTING: Patients and their families recruited from elementary schools in a community setting were interviewed between December 1991 and January 1992. PARTICIPANTS: A total of 508 children with asthma were identified by school health records and teacher surveys. Their families confirmed the diagnosis and agreed to enter the study. Questionnaires were completed by 392 families. INTERVENTION: The 392 families participated in a controlled trial of asthma education after providing the data that are the basis of this report. RESULTS: More than half of the children took two or more medications for asthma. Thirty-one percent took theophylline alone or in combination with an adrenergic agent; 11% took some form of daily antiinflammatory medication, either cromolyn (8%) or inhaled steroids (3%). The pattern of medication use related to measures of severity and to regular visits to physicians or nurses. In general, however, children were undermedicated. A total of 78 children (20%) reported no medication or over-the-counter medication use, although 37% reported asthma severe enough to be associated with >/=20 days of school missed per month, and 37% had had an emergency room visit for asthma in the past 6 months. More than half of children >/=9 years old supervised their own medication. CONCLUSIONS: We concluded that undermedication is common in poor children with asthma living in urban areas. Antiinflammatory medications are used less commonly than in the general population, and theophylline is used more often. School children may be likely to supervise their own medication.
机译：目的：本研究的目的是检查参加以城市学校为基础的社区干预计划的家庭报告的药物使用情况，并将其与其他社会和医学变量联系起来。设计：研究的设计是横断面问卷调查。地点：1991年12月至1992年1月，在社区环境中从小学招募的患者及其家属进行了采访。参与者：通过学校健康记录和教师调查确定了508名哮喘患儿。他们的家人确认了诊断并同意参加研究。 392个家庭完成了问卷调查。干预：在提供作为本报告基础的数据之后，392个家庭参加了哮喘教育的对照试验。结果：一半以上的孩子服用两种或两种以上的哮喘药物。 31％的人单独或与肾上腺素药合用茶碱; 11％的人服用某种形式的日常抗炎药，即克罗莫林（8％）或吸入类固醇（3％）。药物使用的方式与严重程度的衡量标准以及定期去看医生或护士有关。但是，总的来说，儿童服药不足。共有78名儿童（20％）表示没有药物治疗或非处方药使用，尽管37％的儿童报告哮喘严重程度与每月缺勤20天以上有关，而37％的儿童发生了紧急情况在过去6个月内进行哮喘门诊。超过一半的> / = 9岁儿童监督自己的药物治疗。结论：我们得出结论，在城市地区生活困难的哮喘儿童中，用药不足很常见。与一般人群相比，抗炎药的使用较少，而茶碱的使用则更为频繁。小学生可能会监督自己的药物治疗。

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