中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
20-21,23
,共3页
支气管哮喘%社区管理%效果评价
支氣管哮喘%社區管理%效果評價
지기관효천%사구관리%효과평개
Bronchial asthma%Community management%Effectiveness evaluation
目的：探讨社区干预＞14岁支气管哮喘的有效性。方法：根据《支气管哮喘防治指南》的要求，结合社区的实际情况，对＞14岁哮喘患者134例实施管理，比较管理前后哮喘患者的哮喘控制率。结果：纳入社区管理1年规范治疗后情况显著改善：使用吸入β2受体激动剂和吸入激素例数明显增加(P＜0.01)，使用全身激素例数明显减少，使用口服药缓解例数减少；吸入激素、制定哮喘计划使用峰流速仪以及定期进行PEF和CACT检测例数及哮喘问卷合格情况较管理前明显增加。结论：将哮喘纳入社区管理，建立以患者为中心，医患共同参与的社区管理模式是控制哮喘的有效途径。
目的：探討社區榦預＞14歲支氣管哮喘的有效性。方法：根據《支氣管哮喘防治指南》的要求，結閤社區的實際情況，對＞14歲哮喘患者134例實施管理，比較管理前後哮喘患者的哮喘控製率。結果：納入社區管理1年規範治療後情況顯著改善：使用吸入β2受體激動劑和吸入激素例數明顯增加(P＜0.01)，使用全身激素例數明顯減少，使用口服藥緩解例數減少；吸入激素、製定哮喘計劃使用峰流速儀以及定期進行PEF和CACT檢測例數及哮喘問捲閤格情況較管理前明顯增加。結論：將哮喘納入社區管理，建立以患者為中心，醫患共同參與的社區管理模式是控製哮喘的有效途徑。
목적：탐토사구간예＞14세지기관효천적유효성。방법：근거《지기관효천방치지남》적요구，결합사구적실제정황，대＞14세효천환자134례실시관리，비교관리전후효천환자적효천공제솔。결과：납입사구관리1년규범치료후정황현저개선：사용흡입β2수체격동제화흡입격소례수명현증가(P＜0.01)，사용전신격소례수명현감소，사용구복약완해례수감소；흡입격소、제정효천계화사용봉류속의이급정기진행PEF화CACT검측례수급효천문권합격정황교관리전명현증가。결론：장효천납입사구관리，건립이환자위중심，의환공동삼여적사구관리모식시공제효천적유효도경。
Objective:To explore the effectiveness of community intervention on 14 years old above bronchial asthma.Methods:According to the requirement of 'prevention and treatment guidelines of bronchial asthma',combined with the actual situation of the community,14 years old above bronchial asthma were given management.The asthma control rates of asthma patients were compared before and after the management.Results:The conditions improved significantly after incorporated in the community management with 1 year specification treatment.The cases of using inhaled β 2 agonists and inhaled corticosteroids were significantly increased(P<0.01).The cases of using systemic steroid were significantly decreased.The remission cases of using oral medicine were significantly decreased.The cases of inhaled corticosteroids,formulating asthma plan by using the peak flow meter,the regular PEF and CACT detection and asthma questionnaire qualifying conditions were significantly increased. Conclusion:The asthma into community management,the establishment of taking patients as the center,the doctor-patient participation of the community management mode are the effective way to control asthma.
