【作者】 袁媛；

【导师】 孔灵菲；

【作者基本信息】 中国医科大学 ， 内科学， 2010， 硕士

【摘要】 目的了解门诊就诊哮喘患者的控制现状和对疾病的认知程度。方法2007年8月～2008年8月期间,在中国医科大学附属一院哮喘门诊就诊的哮喘患者,通过问卷调查方法。结果212例哮喘患者平均年龄为44.62±11.98岁,平均病程为7.49±6.07年。19.34%的患者在过去的一年内曾因哮喘加重住院,28.30%的患者在过去的一年内曾因病情加重看过急诊,95例在职人员中46例(48.42%)有过请假误工,16例学生中有9例(56.25%)曾因哮喘加重而请假误学。完全控制率为13.68%,良好控制以上的患者达63.21%。哮喘控制测试评分(ACT)显示6.6%的患者总分达到25分。98.58%的患者在诊断哮喘时进行过肺功能检查,19.81%的患者拥有峰流速仪,但仅有3.77%患者每日使用峰流速仪进行病情监测。74.06%的患者有呼吸专科医生制订的长期治疗计划,78.77%的患者长期每日规律使用吸入型糖皮质激素。结论由于哮喘教育管理工作的开展和哮喘规范化治疗的推广,哮喘总体控制水平及患者对疾病的认知程度已明显提高。更多还原

【Abstract】 ObjectiveTo evaluate asthma control status and knowledge of diseases in asthmatic outpatients.MethodsA questionnaire based investigation were performed from AUG 2007 to AUG 2008 in asthmatic outpatients of The First Hospital Of China University.ResultsA total of 212 asthmatic patients were investigated with a mean age of 44.62±11.98 years and disease duration of 7.49±6.07 years.19.34% of the asthmatics had been hospitalized and 28.30% had visited emergency department because of asthma exacerbation in the past year. The percentage of adults with work loss caused by asthma was 48.42%,and which of children with school loss was 56.25%.13.68% of asthmatic patients achieved complete control and 63.21% achieved well controll.98.58% of patients had undergone lung function test when they had been diagnosed asthma.19.81% of patients had peak flow meter of their own but only 3.77% monitored peak flow regularly.78.77% of patients received daily control therapy with inhaled corticosteroids regularly.ConclusionWith the implementation of patient education program and asthma guideline, the asthma control level has been further improved and the asthmatic patients’ understanding of the disease has been improved greatly.更多还原