CAJ | 학술논문

目的：调查西南医院门诊哮喘合并变应性鼻炎（A R ）患者的分布情况，分析二者在临床表现方面的相关性及患者对A R的认知程度和治疗现状。方法选取2013年1～9月西南医院收治的哮喘患者250例进行面对面的问卷调查，了解其哮喘病史、严重程度分级、哮喘控制测试（ACT ）评分和鼻炎情况，并建立个人数据档案。结果250例哮喘患者中，161例（64．4％）合并A R ，单纯哮喘组（A组）和哮喘合并A R组（B组）在年龄、性别、病程等方面差异无统计学意义（P＞0．05）。B组中轻度持续、中度持续、重度持续例数均高于A组，差异有统计学意义（P＜0．05）；ACT评分显示完全控制、一般控制例数均低于A组，差异有统计学意义（P＜0．05）；未控制哮喘高于A组，差异有统计学意义（ P＜0．05）。A R起病早于哮喘占58．3％，两者同时起病占12．7％。32．8％患者曾经检测过敏原，22．6％患者使用药物治疗鼻炎。结论重庆地区哮喘合并A R发生率高，认知程度较低，治疗现状不容乐观。
목적：조사서남의원문진효천합병변응성비염（A R ）환자적분포정황，분석이자재림상표현방면적상관성급환자대A R적인지정도화치료현상。방법선취2013년1～9월서남의원수치적효천환자250례진행면대면적문권조사，료해기효천병사、엄중정도분급、효천공제측시（ACT ）평분화비염정황，병건립개인수거당안。결과250례효천환자중，161례（64．4％）합병A R ，단순효천조（A조）화효천합병A R조（B조）재년령、성별、병정등방면차이무통계학의의（P＞0．05）。B조중경도지속、중도지속、중도지속례수균고우A조，차이유통계학의의（P＜0．05）；ACT평분현시완전공제、일반공제례수균저우A조，차이유통계학의의（P＜0．05）；미공제효천고우A조，차이유통계학의의（ P＜0．05）。A R기병조우효천점58．3％，량자동시기병점12．7％。32．8％환자증경검측과민원，22．6％환자사용약물치료비염。결론중경지구효천합병A R발생솔고，인지정도교저，치료현상불용악관。
Objective To survey the distribution situation of asthma complicating allergic rhinitis(AR) ,to an‐alyze their correlation in the clinical manifestations ,and to investigate the patients′cognitions and treatment current situation AR .Methods The face‐to‐face questionnaire survey was performed between doctor and patients from Janu‐ary to September ,2013 for understanding the asthma history ,severity classification ,asthma control test (ACT ) and rhinitis status in details .The personal data files of each patient were established for conducting statistic analysis .Re‐sults In 250 cases of asthma ,161 cases (64 .4% ) were complicated with AR .The differences in the age ,sex and dis‐ease course between the asthma complicating AR(group B) and the simple asthma group(group A) had no statistical significance (P>0 .05) .The cases number of mild persistence ,moderate persistence and in the group B was higher than that in the group A ,the difference was statistically significant (P<0 .05);the ACT scores showed that the cases number of complete control ,general control in the group B was lower than that in the group A with statistical differ‐ence between them(P<0 .05) ,while the cases number of uncontrol was higher than that in the group A ,the differ‐ence was statistically significant (P<0 .05) .In the group VB ,58 .3% of the patients got AR earlier than asthma and both simultaneous onset accounted for 12 .7% .32 .8% of the patients were conducted the allergen test and 22 .6% of the patients used the drug treatment .Conclusion The morbidity of asthma complicating AR is high ,the cognition de‐gree is low and the treatment status is not optimistic in Chongqing area .