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药师干预对儿童哮喘治疗效果影响的系统评价
陈敏,陈力,刘砚韬,周巍,吴倩,林芸竹
0
(四川大学华西第二医院,出生缺陷与相关妇儿疾病教育部重点实验室,四川成都 610041)
摘要:
目的:系统评价药师干预对儿童哮喘治疗效果的影响,进一步提高药学服务质量。方法:计算机检索the Cochrane Library、PubMed、EMBase、CNKI、VIP和万方数据库,检索有关药师干预儿童哮喘治疗的随机对照研究(RCT),检索时限均为建库至2021年3月。由2名研究者独立筛选文献,提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果:共纳入11项RCT,包含1 235例哮喘患儿。Meta分析显示,与对照组相比,试验组(药师干预组)患儿的儿童哮喘控制测试(C-ACT)评分、哮喘控制情况、肺功能指标(FEV1%和PEF%)改善更明显(P均<0.05)。结论:药师积极参与儿童哮喘的治疗过程,可有效改善患儿哮喘的控制水平和肺功能指标。
关键词:  药师干预  儿童哮喘  系统评价
DOI:10.13407/j.cnki.jpp.1672-108X.2022.07.002
基金项目:四川省卫生健康委员会项目,编号20PJ069;中国药学会科普项目,编号CMEI2021KPYJ00408
Systematic Review of Intervention on Improvement of Asthma Care in Children by Pharmacists
Chen Min, Chen Li, Liu Yantao, Zhou Wei, Wu Qian, Lin Yunzhu
(West China Second Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu 610041, China)
Abstract:
Objective: To systematically evaluate the effects of intervention on the therapeutic effect of asthma in children by pharmacists and further improve the quality of pharmaceutical care. Methods: The Cochrane Library, PubMed, EMBase, CNKI, VIP and Wanfang database were retrieved to collect the randomized controlled trials (RCT) of intervention on the therapeutic effect of asthma in children by pharmacists. The retrieval time was from the establishment of the database to Mar. 2021. Two researchers independently screened the literature, extracted the data and evaluated the risk of bias in the included literature, and then Meta-analysis was performed by using RevMan 5.3 software. Results: A total of 11 RCT were enrolled, including 1,235 children with asthma. Meta-analysis showed that compared with the control group, children’s asthma control test (C-ACT) score, asthma control and lung function indicators (FEV1% and PEF%) were improved more significantly in the experimental group (intervention group) (P<0.05). Conclusion: The active participation of pharmacists in the treatment of children with asthma can effectively improve the level of asthma control and lung function indicators in children.
Key words:  intervention by pharmacists  children with asthma  systematic review

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