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门诊309例哮喘患者问卷调查分析
作者:王西华 张祖贻 朱晓莉 金淑贤 
单位:东南大学附属中大医院,呼吸科,江苏,南京,210009
关键词:哮喘 问卷调查 哮喘防治 
分类号:R562.25, R195.4
出版年·卷·期(页码):2002·21·第三期(227-229)
摘要:

目的:了解当前南京地区哮喘的发病与防治状况.方法:根据研究目的设计出调查表,对首次来我院门诊就诊的309例支气管哮喘患者进行问卷调查.结果:309例患者中,60岁以下的患者占95.1%.哮喘发作首先表现出不同程度的前驱症状.哮喘发作的诱因复杂多样,并有泛化现象.哮喘发病有很强的家族性,其一、二级亲属有哮喘或过敏性鼻炎史者占37.2%,患者本人合并有其他过敏性疾病者占81.2%.本地区哮喘的治疗多停留在以扩张支气管为主的水平上,激素的应用仍以发作时的全身用药为主,使用吸入激素的人数只占27.8%.接受哮喘防治知识教育的只有9.4%.结论:本地区的哮喘发病率有逐年升高的趋势,哮喘的防治须按现代医学模式全面加强.
 

Objective  To study general information of the morbidity of asthma as well as its preventive situation in local area nowadays.Method  A questionnaire survey was presented according to the purpose,which was applied to 309 patients(pts) who never complained to our clinic for asthma.Results  Among the 309pts,129 were male,180 female.Male∶female=1∶1.4.95.1% of the pts were under 60 yrs of age.Preceding symptoms in different scale often happened before the onset of asthma.The inducements of asthma are numerous and they seem to be more in number while the illness is going on.Those who got asthma usually have a family history.37.2%of them have first  or second  degree relatives who got asthma or allergic rhinities.81.2% of the pts have other allergic states.The local treatment for asthma is still focused on bronchodilator,and corticosteroid is only given systemically when asthma deteriorates.Only 27.8% and 9.4% of the pts inhale corticosteroid and were educated with the knowledge of asthma,respectively.Conclusion  The morbidity of asthma is climbing up in local area,and asthma prevention as well as its treatment is waiting to be strengthened.

参考文献:

[1] 中华医学会呼吸病学分会哮喘学组. 支气管哮喘防治指南-支气管哮喘的定义、诊断、治疗、疗效判断标准与教育和管理方案, 1997
[2] 杨昆, 黄绍光. 支气管哮喘流行变化趋势分析. 中华结核和呼吸杂志2001(3)
 

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