标准化病历系统联合互联网管理模式在儿童哮喘控制中的应用效果研究

doi:10.20274/j.cnki.issn.1674-3865.2026.02.001

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (2): 93-97.doi: 10.20274/j.cnki.issn.1674-3865.2026.02.001

• 儿童哮喘防治专栏 • 下一篇

标准化病历系统联合互联网管理模式在儿童哮喘控制中的应用效果研究

陆桂宁(), 麦顺欢, 欧阳笑金, 黄国淳, 汪亚君, 张月坚, 潘婷婷

528300 广东佛山，广东医科大学顺德妇女儿童医院儿科（陆桂宁，麦顺欢，欧阳笑金，黄国淳，张月坚，潘婷婷），呼吸研究所（汪亚君）

收稿日期:2026-01-10 修回日期:2026-03-07 出版日期:2026-04-25 上线日期:2026-04-25
通讯作者: 陆桂宁 E-mail:1547614693@qq.com
作者简介:陆桂宁（1975-），女，主任医师。研究方向：儿童哮喘、喘息的诊治
基金资助:
广东省医学科学技术研究基金项目(C2022124)

Study on the application effect of standardized medical record system combined with Internet-based management model in childhood asthma control

Guining LU(), Shunhuan MAI, Xiaojin OUYANG, Guochun HUANG, Yajun WANG, Yuejian ZHANG, Tingting PAN

Shunde Women and Children's Hospital of Guangdong Medical University，Foshan 528300, China

Received:2026-01-10 Revised:2026-03-07 Published:2026-04-25 Online:2026-04-25
Contact: Guining LU E-mail:1547614693@qq.com
Supported by:
Mandatory Medical Research Project of Guangdong Province(C2022124)

摘要/Abstract

摘要：

目的研究基于标准化病历系统联合互联网管理模式对儿童哮喘控制的影响。方法选取2022年7月1日至2023年6月30日在广东医科大学顺德妇女儿童医院儿童哮喘门诊就诊并接受随访管理的哮喘患儿126例为研究对象，按计算机生成的随机数分为观察组76例和对照组50例。采用倾向性评分匹配法对两组患儿进行1∶1匹配，对照组和观察组各匹配成功25例。观察组在标准化病历系统基础上实施互联网持续管理，对照组采用传统纸质哮喘行动计划管理。比较两组患儿哮喘控制水平、非计划就诊次数及相关随访指标的差异。结果随访期间，配对后观察组患儿的非计划就诊次数低于对照组，差异有统计学意义（P<0.05)。观察组3个月、6个月哮喘控制水平显著优于对照组，差异有统计学意义（P<0.05)。两组3个月、6个月脑功能评分比较差异无统计学意义（P>0.05)。结论与纸质资料管理相比，标准化病历系统联合互联网管理模式有助于提高儿童哮喘控制水平，减少非计划就诊，是一种有应用前景的儿童哮喘长期规范化管理模式。

关键词: 哮喘, 控制, 标准化病历, 互联网管理, 儿童

Abstract:

Objective To investigate the effect of a standardized medical record system combined with an Internet-based management model on asthma control in children. Methods A total of 126 children with asthma who attended the pediatric asthma clinic of Shunde Women and Children's Hospital of Guangdong Medical University from July 1, 2022 to June 30, 2023 were selected as study subjects. According to the random number generated by the computer, the patients were divided into an observation group of 76 cases and a control group of 50 cases. Propensity score matching was used to match the two groups of children at a ratio of 1∶1, and 25 cases in each group were successfully matched. The observation group received continuous Internet-based management on the basis of a standardized medical record system, while the control group was managed using a traditional paper-based asthma action plan. Asthma control level, number of unplanned medical visits, and related follow-up indicators were compared between the two groups. Results During the follow-up, the number of unplanned medical visits in the observation group was lower than that in the control group after matching, with a statistically significant difference (P<0.05). Asthma control levels at 3 and 6 months in the observation group were significantly better than those in the control group, with statistically significant differences (P<0.05). There was no statistically significant difference in brain function scores between the two groups at 3 or 6 months (P>0.05). Conclusion Compared with paper-based asthma action plan, the standardized medical record system combined with an Internet-based management model helps to improve asthma control level and reduce unplanned medical visits in children, which is a promising model for long-term standardized management of childhood asthma.

Key words: Asthma, Control, Standardized medical records, Internet-based management, Child

中图分类号:

R725.6

陆桂宁, 麦顺欢, 欧阳笑金, 黄国淳, 汪亚君, 张月坚, 潘婷婷. 标准化病历系统联合互联网管理模式在儿童哮喘控制中的应用效果研究[J]. 中国中西医结合儿科学, 2026, 18(2): 93-97.

Guining LU, Shunhuan MAI, Xiaojin OUYANG, Guochun HUANG, Yajun WANG, Yuejian ZHANG, Tingting PAN. Study on the application effect of standardized medical record system combined with Internet-based management model in childhood asthma control[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(2): 93-97.

图/表 2

参考文献 30

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组别	n	性别(男/女，n)	年龄(x±s，月)	诊断月份(x±s，月)	基线哮喘控制水平（n）			基线脑功能评分（x±s，分）
组别	n	性别(男/女，n)	年龄(x±s，月)	诊断月份(x±s，月)	完全控制	部分控制	未控制	基线脑功能评分（x±s，分）
对照组	25	15/10	92.84±23.54	8.84±5.22	8	14	3	25.24±13.61
观察组	25	15/10	94.00±26.37	8.64±4.50	10	8	7	21.40±14.22

组别	n	非计划就诊次数[M（P₂₅,P₇₅）]	3个月基线哮喘控制水平（n）			6个月基线哮喘控制水平（n）			基线脑功能评分（x±s，分）
组别	n	非计划就诊次数[M（P₂₅,P₇₅）]	完全控制	部分控制	未控制	完全控制	部分控制	未控制	3个月	6个月
对照组	25	2(1，3)	2	21	2	9^b	15	1	18.64±9.22	11.72±5.55^a
观察组	25	0(0，1)	15	10	0	18	7	0	18.72±8.12	15.12±10.13
Z或t值		-2.799	3.413			2.624			0.029	1.439
P值		0.006	<0.001			0.009			0.977	0.163

标准化病历系统联合互联网管理模式在儿童哮喘控制中的应用效果研究

Study on the application effect of standardized medical record system combined with Internet-based management model in childhood asthma control

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