中国初级卫生保健
中國初級衛生保健
중국초급위생보건
CHINESE PRIMARY HEALTH CARE
2000年
4期
23-24
,共2页
邱仪华%施鸿瑞%姜龙祥%张洪熹%杭晶卿
邱儀華%施鴻瑞%薑龍祥%張洪熹%杭晶卿
구의화%시홍서%강룡상%장홍희%항정경
哮喘流行病学调查预防
哮喘流行病學調查預防
효천류행병학조사예방
asthma%epidemiology survey%prevent management Address of the authors Jin Yang Hospital in Pudong Jingqiao Region of Shanghai
为了解上海浦东金桥地区的哮喘患病率，哮喘患者肺功能和表型状况，作为进一步制定对哮喘患者教育、疾病防治、工作规划的依据，采用挨家挨户调查的方法，对筛选出的对象分别由Ⅰ、Ⅱ、Ⅲ级医院各一名医师进行确诊，对患者进行肺功能、哮喘表型测定。结果发现金桥地区哮喘患病率为0.43％，56.44％的患者有家族史，同时伴有其他过敏性疾病为52.15％：气道反应性阳性率为69.8％；粉尘螨、蟑螂、屋尘螨、桑蚕丝皮试阳性率分别为73.1％、63.0％、49.0％、23.1％；嗜酸性细胞计数>350×10 6者占4.1％，IgE>150Iu/ml者占46.6％。认为应建立社区哮喘病管理网络，根据患者发病的不同诱因，采取健康宣教、环境干预、行为生活习惯干预、药物剂量个体化的综合防治方案，并加强随访参观。支气管哮喘患者经管理和正确治疗，可减少医疗费用，改善临床症状。
為瞭解上海浦東金橋地區的哮喘患病率，哮喘患者肺功能和錶型狀況，作為進一步製定對哮喘患者教育、疾病防治、工作規劃的依據，採用挨傢挨戶調查的方法，對篩選齣的對象分彆由Ⅰ、Ⅱ、Ⅲ級醫院各一名醫師進行確診，對患者進行肺功能、哮喘錶型測定。結果髮現金橋地區哮喘患病率為0.43％，56.44％的患者有傢族史，同時伴有其他過敏性疾病為52.15％：氣道反應性暘性率為69.8％；粉塵螨、蟑螂、屋塵螨、桑蠶絲皮試暘性率分彆為73.1％、63.0％、49.0％、23.1％；嗜痠性細胞計數>350×10 6者佔4.1％，IgE>150Iu/ml者佔46.6％。認為應建立社區哮喘病管理網絡，根據患者髮病的不同誘因，採取健康宣教、環境榦預、行為生活習慣榦預、藥物劑量箇體化的綜閤防治方案，併加彊隨訪參觀。支氣管哮喘患者經管理和正確治療，可減少醫療費用，改善臨床癥狀。
위료해상해포동금교지구적효천환병솔，효천환자폐공능화표형상황，작위진일보제정대효천환자교육、질병방치、공작규화적의거，채용애가애호조사적방법，대사선출적대상분별유Ⅰ、Ⅱ、Ⅲ급의원각일명의사진행학진，대환자진행폐공능、효천표형측정。결과발현금교지구효천환병솔위0.43％，56.44％적환자유가족사，동시반유기타과민성질병위52.15％：기도반응성양성솔위69.8％；분진만、장랑、옥진만、상잠사피시양성솔분별위73.1％、63.0％、49.0％、23.1％；기산성세포계수>350×10 6자점4.1％，IgE>150Iu/ml자점46.6％。인위응건립사구효천병관리망락，근거환자발병적불동유인，채취건강선교、배경간예、행위생활습관간예、약물제량개체화적종합방치방안，병가강수방삼관。지기관효천환자경관리화정학치료，가감소의료비용，개선림상증상。
Objective:To investigate the prevalence of asthma, lung function and some phenotype of the asthmatics in Pudong Jinqiao region of Shanghai and provide the basis of drawing up a work plan for asthma management, prevention and patient education Method: To survey the family one by one,the selected asthmatics were diagnosed by a physician from hospital of grade Ⅰ , Ⅱ andⅢ respectively.The lung function and phenotype of the asthmatics were measured. Result:The prevealence of asthma in Jinqiao region was 0.43% ,56.44% of the asthmatics had a history of family,and 52.15% of them accompanied with other allergic diseases. The positive rate of airway hyperresponsive was 69.8%. The positive rats of skin test to the powder mite, cockroach, house dust mite and silkworm were 73.1% 、63.0% 、49.0% and 23.1% respectively It was 24.1% asthmatics that blood eosinophil count was more than 350× 106/l,and it was 46.6% asthmatics that IgE was mere than 150Iu/ml. Prevention:To establish asthma management net according to asthmatics variety cause to happen. It is necessary to strengthen health education, environment intervene, behaviour intervene and medicament provide. To strengthen to survey the family one by one. Conclusion: It is necessary to strengthen health education. Asthma management and prevention for asthmatics may reduce the cost of therapy and improve clinical symptoms.
