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122例哮喘患者治疗管理临床分析

The clinical analysis of long term treatment and management of 122 asthmatic patients

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【作者】 黄亦芬陈婷郗慧

【Author】 HUANG Yifeng,CHEN Ting,XI Hui Department of Respiratory Medicine,The First Affiliated Hospital of Xingjiang Medical University Urumqi,Xingjiang 830054,China

【机构】 新疆医科大学第一附属医院呼吸内科新疆医科大学第一附属医院呼吸内科 新疆乌鲁木齐830054新疆乌鲁木齐830054新疆乌鲁木齐830054

【摘要】 目的 探讨哮喘患者的简化治疗与管理方案。方法  1 992年~ 2 0 0 1年门诊及住院治疗哮喘患者 1 2 2例 ,其中典型哮喘 53例 ,非典型哮喘 69例。在哮喘知识宣传教育的基础上 ,采用吸入性糖皮质激素 +β2 受体激动剂或 +氨茶碱控释片 (长效茶碱 )二联或三联疗法 ,随访l~ 1 0年。结果 用药 2~ 5年以上 2 0例患者完全缓解、停药后不再复发 (1 6 4% ) ,90例在停药l~ 2年后复发 (73 8% ) ,1 2例停药或减药过程中在春、秋季节复发 (9 8% )。 1 2 2例中无一例哮喘加重和因哮喘死亡。结论 哮喘患者通过规范治疗和管理 ,特别是长期使用吸入性糖皮质激素后 ,多数可以达到长期缓解的效果 ,而疗程不足易于复发

【Abstract】 Objective To explore a brief regimen to treat and manage asthmatic patients.Methods 122 asthmatic patients(including 12 inpatients) treated and managed at respiratory clinic were followed up for 1~10 years.The data of these patients were collected and analysed Results On the base of asthma education patients were received inhaled glucocorticoid combined with β 2 agonist and/or theophylline for two to five years Of 122 patients,20(16 4%) patients remised and remained good control without any medication,90(73 8%) patients relapsed within 1 to 2 years after drug withdrawal Conclusions Asthmatic patients must be treated and managed regularly according to GINA It was especially emphasized that inhaled glucocorticoid is the mainstay of ling term threapy Most patients can remise for quite a long time with agreeable quality of life while a few patients can be cured

【关键词】 哮喘治疗管理
【Key words】 AsthmaTreatmentManagement
  • 【文献出处】 中国呼吸与危重监护杂志 ,Chinese Journal of Respiratory and Critical Care Medicine , 编辑部邮箱 ,2003年01期
  • 【分类号】R562.25
  • 【被引频次】1
  • 【下载频次】34
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