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目的了解石家庄市支气管哮喘患者的患病率、控制现状且对影响控制水平的相关因素进行分析,为支气管哮喘的防治提供更多可靠依据。方法结合石家庄实际情况制定调查表,以整群随机抽样的方法对年龄在14岁以上的市民进行问卷调查,并同时在2家三级甲等医院门诊调查前来就诊的支气管哮喘患者,全部患者符合2003年中华医学会呼吸病学分会哮喘学组制定的诊断标准。统计分析应用SPSS13.0软件进行。结果在城区调查市民2 050例,资料完整且质控合格者2 011例,其中支气管哮喘患者55例,哮喘患病率为2.73%。在医院门诊调查支气管哮喘患者150例,累计调查哮喘患者205例。根据ACT评分显示,205例患者中,123例(60.00%)没有得到控制,达到良好控制以上的共82例(40.00%),经多因素非条件logistic回归分析显示:吸烟情况,过敏史,经济负担情况,没有长期规律吸入糖皮质激素或复合制剂与哮喘控制明显相关。结论对哮喘患者的管理和教育工作有待进一步加强,应积极推广规范化治疗。
Objective To understand the prevalence and control of patients with bronchial asthma in Shijiazhuang City and to analyze the related factors that influence the level of control and provide more reliable evidences for the prevention and treatment of bronchial asthma. Methods Based on the actual situation in Shijiazhuang, a questionnaire was set up to survey the citizens over the age of 14 in a cluster random sampling method. At the same time, two patients from three tertiary level hospitals outpatient were investigated for bronchial asthma patients, all patients In line with 2003 Chinese Medical Association of respiratory disease branch asthma group developed diagnostic criteria. Statistical analysis using SPSS13.0 software. Results A total of 2 050 citizens were surveyed in the urban area with 2 011 cases of complete quality control and quality control. Among them, 55 cases were bronchial asthma and the prevalence of asthma was 2.73%. 150 cases of bronchial asthma were investigated in the hospital clinic, and 205 cases of asthma were investigated. According to the ACT score, 123 out of 205 patients (60.00%) were uncontrolled and 82 were well controlled (40.00%). Multivariate non-conditional logistic regression analysis showed that smoking, allergy history and economy Burden, no long-term regular inhaled glucocorticoid, or a combination of agents is clearly associated with asthma control. Conclusion The management and education of patients with asthma needs to be further strengthened, and standardized treatment should be actively promoted.