远程医疗在儿童哮喘管理中的研究进展
Research Progress on Telemedicine in Pediatric Asthma Management
DOI: 10.12677/jcpm.2025.44418, PDF,   
作者: 郭 雅, 王春芬, 吴丽丽, 寇 艳*：延安大学附属医院儿科，陕西 延安
关键词: 儿童哮喘；远程医疗；疾病管理；综述；Pediatric Asthma； Telemedicine； Disease Management； Review
摘要: 支气管哮喘(简称哮喘)是全球最常见的儿童慢性疾病之一，对儿童的健康和生活质量造成了严重影响。对儿童哮喘患者实行长期规范化管理，是哮喘慢性病防治的重要内容。随着互联网的普及和信息技术的快速发展，远程医疗作为一种新兴的医疗模式，在儿童哮喘管理中展现出巨大潜力，并取得了积极的成效。现就远程医疗在儿童哮喘管理中的研究进展作一综述，以期为医护工作者提供参考。
Abstract: Bronchial asthma (commonly referred to as asthma) is one of the most common chronic diseases among children worldwide, severely affecting their health and quality of life. Long-term standardized management for pediatric asthma patients is a critical component of asthma’s chronic disease prevention and treatment. With the widespread use of the internet and the rapid development of information technology, telemedicine, as an emerging healthcare model, has shown great potential in pediatric asthma management and has achieved positive results. This review summarizes the research progress on telemedicine in pediatric asthma management, with the aim of providing references for healthcare workers.
文章引用：郭雅, 王春芬, 吴丽丽, 寇艳. 远程医疗在儿童哮喘管理中的研究进展[J]. 临床个性化医学, 2025, 4(4): 70-76. https://doi.org/10.12677/jcpm.2025.44418

参考文献

[1] 2022年全球哮喘报告[EB/OL].
https://ginasthma.org/wp-content/uploads/2022/05/GINA-Main-Report-2022-FINAL-22-05-03-WMS.pdf, 2025-05-09.
[2] 周舒, 黄嘉, 梁雅丽, 等. 中国儿童哮喘患病率及其危险因素的Meta分析[J]. 国际流行病学传染病学杂志, 2020, 47(3): 253-259.
[3] 徐通, 王宁, 吕菊红, 等. 儿童哮喘的疾病控制水平及其影响因素分析[J]. 中国妇幼健康研究, 2020, 31(10): 1295-1300.
[4] (2025) EU: Communication on Telemedicine for the Benefit of Patients, Healthcare and Society. Interoperable Europe Portal.
https://interoperable-europe.ec.europa.eu/collection/ehealth/document/eu-communication-telemedicine-benefit-patients-healthcare-and-society
[5] WHO (2022) WHO-ITU Global Standard for Accessibility of Telehealth Services.
https://www.who.int/publications/i/item/9789240050464
[6] Chan, A.H.Y., Stewart, A.W., Harrison, J., Camargo, C.A., Black, P.N. and Mitchell, E.A. (2015) The Effect of an Electronic Monitoring Device with Audiovisual Reminder Function on Adherence to Inhaled Corticosteroids and School Attendance in Children with Asthma: A Randomised Controlled Trial. The Lancet Respiratory Medicine, 3, 210-219. [Google Scholar] [CrossRef] [PubMed]
[7] Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K. and Brooks, M. (2016) Evaluating Barriers to Adopting Telemedicine Worldwide: A Systematic Review. Journal of Telemedicine and Telecare, 24, 4-12. [Google Scholar] [CrossRef] [PubMed]
[8] Zabczyk, C. and Blakey, J.D. (2021) The Effect of Connected “SMART” Inhalers on Medication Adherence. Frontiers in Medical Technology, 3, Article 657321.
[9] Ferrante, G., Licari, A., Marseglia, G.L. and La Grutta, S. (2020) Digital Health Interventions in Children with Asthma. Clinical & Experimental Allergy, 51, 212-220. [Google Scholar] [CrossRef] [PubMed]
[10] Gupta, S., Shabnam, and Verma, A.K. (2024) Peak Expiratory Flow Rate Monitoring Can Predict Asthma Exacerbation Better as Compared to Monitoring by Symptoms, Prospective Cohort Study. International Journal of Contemporary Pediatrics, 11, 1365-1371. [Google Scholar] [CrossRef] 
[11] Au-Doung, P.L.W., Chan, J.C.H., Kui, O.Y.H., Ho, M.K.Y., Cheung, Y.T., Lam, J.K.W., et al. (2024) Objective Monitoring Tools for Improved Management of Childhood Asthma. Respiratory Research, 25, Article No. 194. [Google Scholar] [CrossRef] [PubMed]
[12] Morton, R.W., Elphick, H.E., Rigby, A.S., Daw, W.J., King, D.A., Smith, L.J., et al. (2016) STAAR: A Randomised Controlled Trial of Electronic Adherence Monitoring with Reminder Alarms and Feedback to Improve Clinical Outcomes for Children with Asthma. Thorax, 72, 347-354. [Google Scholar] [CrossRef] [PubMed]
[13] Onubogu, U.C. and Ayuk, A. (2022) Pulse Oximetry and Peak Expiratory Flow Rate Correlations in Acute Asthma Exacerbation in Children. Nigerian Journal of Clinical Practice, 25, 1896-1903. [Google Scholar] [CrossRef] [PubMed]
[14] van der Kamp, M., Hengeveld, V., Willard, N., Thio, B., de Graaf, P., Geven, I., et al. (2023) Remote Patient Monitoring and Teleconsultation to Improve Health Outcomes and Reduce Health Care Utilization of Pediatric Asthma (ALPACA Study): Protocol for a Randomized Controlled Effectiveness Trial. JMIR Research Protocols, 12, e45585. [Google Scholar] [CrossRef] [PubMed]
[15] 高艳, 张彩凤, 邓力, 等. 基于云平台视频功能的儿童哮喘护理门诊在患儿药物吸入中的应用效果[J]. 护士进修杂志, 2023, 38(7): 612-615, 619.
[16] Haynes,, S.C., Kamerman-Kretzmer,, R., Khan,, S.S., Crossen,, S., Lieng,, M.K., Marcin,, J.P., et al. (2022) Telemedicine Use for Pediatric Asthma Care: A Mixed Methods Study. Journal of Asthma, 59, 2431-2440. [Google Scholar] [CrossRef] [PubMed]
[17] 李坤, 高玉芳, 赵林, 等. 视频宣教联合回馈教学法在学龄期哮喘患儿自我管理中的应用[J]. 现代临床护理, 2022, 21(4): 45-51.
[18] 魏明月, 董晓艳, 王淑. 基于“互联网+”的儿童哮喘居家一体化智能管理模式研究与应用[J]. 中国数字医学, 2025, 20(1): 26-31.
[19] 张彩凤, 高艳, 秦怡, 等. 基于哮喘行动计划远程联合管理模式对儿童哮喘控制的影响[J]. 中华儿科杂志, 2023, 61(9): 820-826.
[20] 王丽昕, 张茜, 黄玉萍, 等. 哮喘儿童智能管理App使用时间影响因素分析[J]. 中国药业, 2021, 30(19): 15-17.
[21] 段吉隆, 张晓娜, 常艳, 等. 移动医疗在呼吸系统疾病患者药物吸入管理中的应用进展[J]. 中华护理杂志, 2023, 58(20): 2538-2542.
[22] 江楚悦, 黄海超, 江河. 物联网辅助的哮喘症状监测与日常活动分析[J]. 工业控制计算机, 2025, 38(4): 25-27.
[23] 张妍涵, 卢燕鸣, 李亚琴, 等. 智能设备提高反复喘息患儿吸入糖皮质激素治疗依从性的应用价值[J]. 儿科药学杂志, 2021, 27(8): 21-25.
[24] Hurst, J.H., Zhao, C., Fitzpatrick, N.S., Goldstein, B.A. and Lang, J.E. (2021) Reduced Pediatric Urgent Asthma Utilization and Exacerbations during the COVID‐19 Pandemic. Pediatric Pulmonology, 56, 3166-3173. [Google Scholar] [CrossRef] [PubMed]
[25] Gilkey, M.B., Kong, W.Y., Kennedy, K.L., Heisler-MacKinnon, J., Faugno, E., Gwinn, B., et al. (2022) Leveraging Telemedicine to Reduce the Financial Burden of Asthma Care. The Journal of Allergy and Clinical Immunology: In Practice, 10, 2536-2542. [Google Scholar] [CrossRef] [PubMed]