【摘要】 目的了解湖南省基层地区哮喘防控现状。方法采用问卷调查方式,于2009年4月共调查湖南省72家县级医院,每家医院抽取1名哮喘归口科室医生,共72名医生接受调查。结果仅有20.83%(15/72)的医院开展肺通气功能检查,但均未开展支气管激发试验或舒张试验。仅有48.61%的医生选择吸入型糖皮质激素作为一线药物,而30.56%和9.72%的医生分别将口服激素和静脉应用激素作为一线药物。中(成)药、肾上腺素等非常规药物被部分医生作为一线药物应用。仅有19.44%的医生表示了解并且执行了哮喘指南,多数医生处于"听说过但不了解(50%)"及"了解但从未执行(26.39%)"的状态。91.67%(66/72)的医生对哮喘的防控现状不满意,其中86.36%(57/66)的医生认为其主要原因是经济因素。结论推出适合基层应用的改良哮喘防治方案势在必行。更多还原

【Abstract】 Objective To evaluate the current prevention and control of asthma in grass root units in Hunan province.Methods Questionnaires were completed in 72 asthma physicians from 72 county level hospitals in Hunan province,doctors were randomly recruited from the 72 hospitals,1 doctor from each hospital.Results Only 20.83% hospitals(15/72)launched lung function tests,but none of them developed bronchial provocation or relaxation tests.Only 48.61% physicians took inhaled glucocorticoids as first line drugs,while 30.56% and 9.72% physicians respectively chose oral and intravenous glucocorticoids as first line drugs.Non-orthodox medicines such as traditional Chinese medicine and adrenaline were also applied as first line drugs by some doctors.Only 19.44% of the physicians expressed that they understood and carried out the asthma guidelines,but major physicians were in a state of "heard of but didn’t understand"(50%)and "understood but never carried it out"(26.39%).91.67%(66/72)of the physicians were not satisfied with the current prevention and control of asthma,among whom,86.36%(57/66)believed that the main reason was the economy.Conclusion It is imperative to promote a modified asthma prevention and control proposal suitable for grass root units.更多还原