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

Abstract

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

CLC Number:

R725.6

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.

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References 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

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

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