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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。
In order to understand the prevalence of asthma and the lung function and phenotype of asthma patients in Jinqiao area of Pudong, Shanghai, as the basis for further education, disease prevention and control and work planning of patients with asthma, the methods of house-to-house investigation were used to screen the patients By the Ⅰ, Ⅱ, Ⅲ grade hospitals, a physician diagnosed the patient lung function, asthma phenotype. The results showed that the prevalence of asthma was 0.43% in Jinqiao area, 56.44% in patients with family history, with other allergic diseases was 52.15%; the positive rate of airway reactivity was 69.8%; dust mites, cockroaches, house dust mites, The positive rates of silkworm mulberry silkworm test were 73.1%, 63.0%, 49.0%, 23.1% respectively; those with eosinophil counts> 350 × 10 ~ 6 / L accounted for 4.1% and those with IgE> 150Iu / ml accounted for 46.6%. It is believed that community asthma management network should be established. According to the different causes of patients’ onset, we should adopt comprehensive prevention and treatment programs of health education, environmental intervention, behavioral habits and individualized dosage of medication, and strengthen follow-up visit. Management and proper treatment of patients with bronchial asthma can reduce medical costs and improve clinical symptoms.