【摘要】 目的探讨在经济欠发达农村地区支气管哮喘病管理模式。方法通过对支气管哮喘病控制知识的培训,提高基层医务人员对支气管哮喘患者的诊治能力,哮喘患者给予倍录米松吸入,并进行管理,每3个月评估1次,决定升级还是降级治疗,1年后重新评估。结果 2008年5~12月共发现哮喘患者101例,其中间歇性哮喘10例,持续性哮喘91例,71例持续性哮喘患者接受吸入激素治疗;1年后评估:改善12例,稳定7例,死亡2例,丢失50例。结论培训基层医师、定期督导的结核病管理模式,可以用于经济欠发达的农村地区哮喘患者管理。更多还原

【Abstract】 Objective To explore a model of standard case management of asthma in rural area of Anhui province.Methods Through training the doctors of township health centers in asthma control,their ability to make diagnosis and treatment of asthma was improved.Inhaled beclomethasone was administered and management was carried out for asthma patients.Recheck was made every 3 months and one reevaluation was given one year later.Results From May 2008 to Dec.2008,101 asthma patients were found including 10 intermittent asthma patients and 91 patients with persistent asthma.71 patients with persistent asthma were treated with inhaled corticosteroids.During the evaluation one year later,12 improved,7 remained stable,2 died,and 50 were lost to be followed-up.Conclusion The training for township doctors and the management mode of regularly monitoring TB are applicable and workable in the management of asthma patients in rural area in Anhui,China.更多还原