【摘要】 为了解上海浦东金桥地区的哮喘患病率,哮喘患者肺功能和表型状况,作为进一步制定对哮喘患者教育、疾病防治、工作规划的依据,采用挨家挨户调查的方法,对筛选出的对象分别由Ⅰ、Ⅱ、Ⅲ级医院各一名医师进行确诊,对患者进行肺功能、哮喘表型测定。结果发现金桥地区哮喘患病率为0.43％,56.44％的患者有家族史,同时伴有其他过敏性疾病为52.15％;气道反应性阳性率为69.8％;粉尘螨、蟑螂、屋尘螨、桑蚕丝皮试阳性率分别为73.1％、63.0％、49.0％、23.1％;嗜酸性细胞计数>350×10~6/L者占4.1％,IgE>150Iu/ml者占46.6％。认为应建立社区哮喘病管理网络,根据患者发病的不同诱因,采取健康宣教、环境干预、行为生活习惯干预、药物剂量个体化的综合防治方案,并加强随访参观。支气管哮喘患者经管理和正确治疗,可减少医疗费用,改善临床症状。更多还原

【Abstract】 Objective:To investigate the prevalence of asthma, lung function and some phenotype of the asthmatics in Pudong Jinqiao region of Shanghai and provide the basis of drawing up a work plan for asthma management,prevention and patient education Method:To survey the family one by one,the selected asthmatics were diagnosed by a physician from hospital of grade I , II and III respectively.The lung function and phenotype of the asthmatics were measured. Result:The prevealence of asthma in Jinqiao region was 0.43% ,56.44% of the asthmatics had a history of family, and 52.15% of them accompanied with other allergic diseases, The positive rate of airway hyperresponsive was 69.8%. The positive rats of skin test to the powder mite,cockroach,house dust mite and silkworm were 73.1% ,63.0%,49.0% and 23.1% respectively It was 24. 1 % asthmatics that blood eosinopnil count was more than 350 x lOVl,and it was 46.6% asthmatics that IgE was more than 150Iu/ml.Prevention: To establish asthma management net according to asthmatics variety cause to happen. It is necessary to strengthen health education,environment intervene, behaviour intervene and medicament provide. To strengthen to survey the family one by one. Conclusion: It is necessary to strengthen health education. Asthma management and prevention for asthmatics may reduce the cost of therapy and improve clinical symptoms.更多还原