摘要
目的了解呼吸内科门诊就诊的哮喘患者疾病控制的情况。方法选择2006年2月～2006年5月在中日友好医院呼吸内科门诊就诊的哮喘患者，通过问卷采用医生与患者面对面的调查方法。结果101例哮喘患者平均年龄（47．5±14．8）岁，平均病程（9．1±12．8）年。有各种社会保障的患者占80．2％。哮喘控制情况：19．8％的患者在过去的一年内曾因哮喘加重住院，40．6％的患者在过去的一年内曾因病情加重看过急诊，在47例在职人员中29例（61．7％）有过请假误工，4例学生中有3例曾因哮喘加重而请假误学。完全控制率为37．6％（38／101），良好控制以上的患者达到75．2％。哮喘控制测试评分显示38．6％的患者总分达到25分，被认为是完全控制。病情监测情况：95．1％的患者在诊断哮喘后曾进行过肺功能检查，72．3％的患者在过去一年内曾进行过肺功能检查，约1／3（36．6％）的患者拥有峰流速仪，但仅有13例（12．9％）每日使用峰流速仪进行病情监测。治疗情况：77．2％的患者有呼吸专科医生制订的长期治疗计划，87．1％的患者长期每日规律使用吸入型糖皮质激素。结论由于哮喘教育管理工作的开展和哮喘规范化治疗的推广，哮喘总体控制水平较前有明显改善。
Objective To evaluate asthma control status in asthmatic outpatients. Methods A questionnaire based investigation were performed from Feb 2006 to May 2006 in asthmatic outpatients of China- Japan Friendship Hospital. Results A total of 101 asthmatic patients were investigated with a mean age of （47.0± 14.8）years and disease duration of （9.1 ±12.8）years. Various forms of social insurance covered 80.2% of the asthmatic patients. 19.8% of the asthmatics had been hospitalized and 40.6% had visited emergency department because of asthma exacerbation in the past year. The percentage of adults with work loss caused by asthma was 61.7% （29/47）,and which of children with school loss was 75% （3/4）.37.6% of asthmatic patients achieved complete control and 75.2% achieved well controll. 72.3% of patients had undergone lung function test in the past year. 36.6% of patients had peak flowmeter of their own but only 12.9% monitored peak flow regularly. 87.1% of patients received daily controll therapy with inhaled corticostemids regularly. Conclusion With the implementation of patient education program and asthma guideline, the asthma control level has been further improved.
出处
《中国呼吸与危重监护杂志》
CAS
2007年第2期97-100,共4页
Chinese Journal of Respiratory and Critical Care Medicine
关键词
哮喘
控制
问卷调查
Asthma
Controll
Questionnaire
