CAJ | 학술논문

目的过去对支气管哮喘(简称哮喘)现状的研究多采用横断面的回顾性调查,结果有局限性.本研究采用前瞻性的方法对重庆地区哮喘防治的现状进行研究,为改进目前哮喘的防治提供依据.方法利用统一的调查问卷,采用前瞻性、多中心、非干预性的研究方法,对重庆地区9家教学医院、市区级医院就诊的184例哮喘患者进行6个月的前瞻性调查研究,调查患者的哮喘控制水平、用药和经济负担等情况.结果入选患者以重度(62.0％)居多,哮喘控制不佳的患者比例较高,哮喘控制评分(ACT)＜20分占82.6％,采用吸入激素为主治疗方法的患者仅占29.6％.6个月后失访率为34.8％.研究结束时与基线数据比较,哮喘控制水平明显改善(P＜0.001),哮喘加重显著减少(P＜0.001),而且平均医疗费用减低33.9％.结论地区哮喘控制现状不佳,规范化治疗的患者比例很低.但经规范治疗和管理后,哮喘控制水平显著改善,急性加重率和治疗费用均显著降低.但仍有约1/3的患者不能接受医师的随访,改善哮喘的管理还需要更多的努力.
목적 과거대지기관효천(간칭효천)현상적연구다채용횡단면적회고성조사,결과유국한성.본연구채용전첨성적방법대중경지구효천방치적현상진행연구,위개진목전효천적방치제공의거.방법 이용통일적조사문권,채용전첨성、다중심、비간예성적연구방법,대중경지구9가교학의원、시구급의원취진적184례효천환자진행6개월적전첨성조사연구,조사환자적효천공제수평、용약화경제부담등정황.결과 입선환자이중도(62.0％)거다,효천공제불가적환자비례교고,효천공제평분(ACT)＜20분점82.6％,채용흡입격소위주치료방법적환자부점29.6％.6개월후실방솔위34.8％.연구결속시여기선수거비교,효천공제수평명현개선(P＜0.001),효천가중현저감소(P＜0.001),이차평균의료비용감저33.9％.결론 지구효천공제현상불가,규범화치료적환자비례흔저.단경규범치료화관리후,효천공제수평현저개선,급성가중솔화치료비용균현저강저.단잉유약1/3적환자불능접수의사적수방,개선효천적관리환수요경다적노력.
Objective Previous studies on bronchial asthma (asthma) status with retrospective cross-sectional survey had limitations.To provide the evidence for the improvement of prevention and treatment of asthma,the present prospective study investigated the current status of asthma treatment and control in Chongqing.Methods Using a uniform questionnaire,the six-month,prospective,multicenter and non-interventional study on asthma control,medication,and economic burden was carried out.We surveyed the 184 asthmatic out-patients in nine teaching hospitals and urban-level hospital of Chongqing.Results Severe asthmatic patients accounted for 62.0％.Asthma control in the high proportion of patients was poor,and the patients with asthma control test (ACT) score ＜20 accounted for 82.6％.Only 29.6％ of patients used mainly inhaled corticosteroid.The percentage of lost to follow in the six months was 34.8％.Compared with the baseline,the level of asthma control improved significantly (P ＜0.001),asthma exacerbations significantly reduced (P ＜0.001),and average medical costs had a 33.9％ reduction.Conclusions In Chongqing,the current status of asthma control was poor and the percentage of patients with standardized treatment was very low.After the standardized treatment and management,the level of asthma control significantly improved,acute exacerbation rates and medication costs significantly reduced.However,about 1/3 of the patients rejected to accept the doctor's follow-up.Improving asthma management needs more effort.