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支气管哮喘诊断状况调查与分析
Investigation and analysis of the diagnostic status of bronchial asthma
【摘要】 目的调查支气管哮喘诊断不足状况并分析相关因素。方法不加选择地对57例门诊哮喘患者进行问卷调查,内容包括发作时主要症状,首次出现症状时间,首次就诊时间,首次确诊时间,确诊依据和被误诊病种等。计算起病至首诊年限,首诊至确诊年限,延误诊断率,并按1980年前后发病分组进行对比研究。结果起病1年内就诊率为96%;首诊至确诊年限为9±1年,1980年前后分别为111±23年、15±03年,差异有显著性(P<0.01);延误诊断率为42%,1980年前后分别为75%、15%,差异有显著性(P<0.01)。依据肺功能检测确诊的仅占20%。结论医生对哮喘的认识和诊断水平低是导致哮喘诊断不足的根本原因;近20年这一状况有所改善,但仍需进一步提高诊断能力,特别应大力提倡肺功能有关指标的检测
【Abstract】 Objective The aim of this study was to investigate the rate of delayed diagnosis of the bronchial asthma and related factors. Method 57 asthmatic outpatients were investigated randomly by questionnaire including main symptoms of asthmatic attack, the date of initial attack ,the date of initial visit physician, and initial diagnosis, the basis of diagnosis and the names of misdiagnosed diseases. Then according to the above mentioned data the duration of delayed diagnosis, the rate of delayed diagnosis were calculated. Result 96% of outpatients saw physician within 1yr. after initial attack. The duration from initial visit to making diagnosis were 11 1± 2 3, and 1 5±0 3 yr. before and after 1980, respectively, and their rate of delayed diagnosis were 75%、15%, respectively. Both of their differences were statistically significant ( P <0.01). Only 20% of diagnosis of asthma was by pulmonary function test. Conclusion The majority of the delayed diagnosis should be due to making the mis understanding and underattention of physician to the asthma, and their diagnostic levels should need further improving.
- 【文献出处】 中华结核和呼吸杂志 ,CHINESE JOURNAL OF TUBERCULOSIS AND RESPIRATORY DISEASES , 编辑部邮箱 ,1998年10期
- 【分类号】R562.250.4
- 【被引频次】23
- 【下载频次】75