儿科门诊哮喘患者控制现状的调查分析

发布时间：2018-11-19 17:04

【摘要】：目的：了解新疆医科大学第一附属医院儿科门诊支气管哮喘患者的哮喘控制现状,并对哮喘患者的控制现状进行分层分析。方法:以医生与患者及患者家属面对面的问卷形式对我院2012年12月至2013年4月就诊于儿科门诊已确诊的哮喘患者进行调查,内容包括人口学资料、合并鼻炎情况、哮喘控制情况等。共收集102例哮喘患者,其中汉族68例,维吾尔族34例；2～4岁16例,4～16岁86例；合并过敏性鼻炎28例,并对调查结果进行统计分析。结果：根据GINA标准及哮喘控制测试评分显示,102例哮喘患者中,控制良好58.82%,未控制41.18%。其中维吾尔族患者的哮喘控制水平低于汉族患者哮喘控制水平,差异有统计学意义(P0.05)。2～4岁哮喘患者的哮喘控制水平低于4～16岁哮喘患者控制水平,差异有统计学意义(P0.05)。哮喘合并过敏性鼻炎患者的哮喘控制水平低于单纯哮喘患者的哮喘控制水平,差异有统计学意义(P0.05)。结论：儿童支气管哮喘患者的哮喘控制情况不理想,控制率仍未达到GINA等指南的要求,如何建立有效的管理模式,提高规范化治疗患者比例,从而提高儿童哮喘控制水平是目前面临的重要问题。另外,不同族别、年龄及是否合并过敏性鼻炎(AR)的哮喘患者之间哮喘控制情况有差异性,提示不同族别、年龄及是否合并过敏性鼻炎可能是哮喘控制的影响因素。
[Abstract]:Objective: to investigate the control status of asthma in pediatric outpatient clinic of the first affiliated Hospital of Xinjiang Medical University. Methods: a face-to-face questionnaire was conducted between December 2012 and April 2013 in our hospital to investigate the patients with asthma diagnosed in pediatric outpatient clinic, including demographic data and rhinitis. Asthma control, etc. 102 cases of asthma were collected, including 68 cases of Han nationality, 34 cases of Uygur nationality, 16 cases of 2years old, 86 cases of 4 years old, 28 cases of allergic rhinitis, and the statistical analysis of the results. Results: according to the GINA standard and the asthma control test scores, the controls were 58.82% and 41.18% respectively in 102 asthmatic patients. The asthma control level of the Uygur patients was lower than that of the Han nationality patients (P0.05). The asthma control level of the asthmatic patients aged 2 to 4 years was lower than that of the asthmatic patients aged 416 years. The difference was statistically significant (P0.05). Asthma patients with allergic rhinitis asthma control level was lower than that of simple asthma patients with asthma control level, the difference was statistically significant (P0.05). Conclusion: asthma control in children with bronchial asthma is not satisfactory and the control rate is still not up to the requirements of GINA guidelines. How to establish an effective management model and improve the proportion of patients with standardized treatment? Therefore, it is an important problem to improve the control level of asthma in children. In addition, there were differences in asthma control among asthmatic patients with different ethnic groups, age and whether or not they were complicated with allergic rhinitis or not, which suggested that age and allergic rhinitis might be the influencing factors of asthma control.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R725.6

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