CAJ | 학술논문

目的了解第三军医大学新桥医院呼吸内科门诊支气管哮喘(简称哮喘)患者治疗及控制现状.方法以面对面问卷形式对我院2010年4月至2010年7月呼吸内科门诊哮喘患者进行调查,同类调查结果与我们1999年的报道相比较.结果患者过去一年内急性发作时口服或使用气雾剂后缓解的比例明显增加(P<0.01);在哮喘发作间期,日常生活完全不受限的比例明显增加(P<0.01);在用药种类上,64.2%的患者使用含ICS类药物,其中的53.2%患者使用ICS+LABA,规律使用ICS患者为37.2%,使用全身激素、β2受体激动剂、茶碱或其他治疗的患者均有所减少;在用药方式上,单纯吸入治疗患者由0.0%增加至24.8%(P<0.01),同时主要口服治疗患者明显减少(P<0.01).哮喘急性发作需要住院的患者为20.0%,需要院外输液治疗或急诊的患者为33.9%,与我们既往的情况比较无显著改善(P>0.05);在急性发作期,85.2%的患者活动受限;39.1%的患者因哮喘误工误学.哮喘控制测试评分显示完全控制为4.4%,良好控制为30.7%,平均值(16.9±5.2)分.结论我院门诊哮喘患者治疗及控制情况较前有所改善,但如何实现科学的长期管理模式,进一步提高规范化治疗患者的比例,提高哮喘控制水平,仍然是哮喘防治工作者的重要任务.
목적 료해제삼군의대학신교의원호흡내과문진지기관효천(간칭효천)환자치료급공제현상.방법 이면대면문권형식대아원2010년4월지2010년7월호흡내과문진효천환자진행조사,동류조사결과여아문1999년적보도상비교.결과 환자과거일년내급성발작시구복혹사용기무제후완해적비례명현증가(P<0.01);재효천발작간기,일상생활완전불수한적비례명현증가(P<0.01);재용약충류상,64.2%적환자사용함ICS류약물,기중적53.2%환자사용ICS+LABA,규률사용ICS환자위37.2%,사용전신격소、β2수체격동제、다감혹기타치료적환자균유소감소;재용약방식상,단순흡입치료환자유0.0%증가지24.8%(P<0.01),동시주요구복치료환자명현감소(P<0.01).효천급성발작수요주원적환자위20.0%,수요원외수액치료혹급진적환자위33.9%,여아문기왕적정황비교무현저개선(P>0.05);재급성발작기,85.2%적환자활동수한;39.1%적환자인효천오공오학.효천공제측시평분현시완전공제위4.4%,량호공제위30.7%,평균치(16.9±5.2)분.결론 아원문진효천환자치료급공제정황교전유소개선,단여하실현과학적장기관리모식,진일보제고규범화치료환자적비례,제고효천공제수평,잉연시효천방치공작자적중요임무.
Objective To investigate the current status of treatment and control of asthmatic patients in out-patient respiratory department, Xinqiao Hospital, the Third Military Medical University.Methods We investigated the patients visiting our out-patient department from April 2010 to July 2010 by face to face questionnaire survey. The results were then compared with that we reported in 1999.Results The percentage of the patients with relief after oral or areosol usage when suffering from exacerbation was significantly increased during last year ( P <0. 01). The percentage of patients without any activity limitation during free of asthma attack was significantly increased ( P <0. 01). Regarding the types of drugs usage, 64. 2% of patients used ICS, 53. 2% of patients used ICS plus LABA,37. 2% of patients regularly used ICS. The patients using systemic glucocorticoid, β2-receptor agonist,aminophylline and other medication were decreased. Regarding the mode of medication, the patients with single areosol usage were increased from 0.0% to 24. 8% ( P <0. 01) , while the patients with oral usage were significantly decreased ( P <0. 01). Regarding acute attack, the percentage of patients with hospital admission were 20.0%, with emergency visit or transfusion treatment were 33.9%, and there was no significant improvement compared to previous results (P > 0. 05). During exacerbation, 85. 2% of patients suffered from activity limitation, 39. 1% of patients missed work or school. The ACT score showed that the percentage of complete control was 4.4%, well control was 30. 7%, the average score was(16.9±5.2)scores.Conclusions The status of asthma treatment and control in our outpatient department was improved.However,how to achieve scientific and long administration mode.farther improving the percentage of patients with standardization treatment and improving asthma control.was still important mission for us.