中国支气管激发试验开展现状调查

发布时间：2018-05-31 07:11

本文选题：支气管激发试验 + 问卷调查　；参考：《中国实用内科杂志》2014年S1期

【摘要】：目的调查和分析现阶段我国支气管激发试验开展开展情况。方法在呼吸学术会议或邮寄问卷等方式通过问卷调查了解我国支气管激发试验开展情况。结果共回收173份问卷,其中开展支气管激发试验的医院有48.0%(83),其中三级医院为主(78.3%,65/83)。各种激发剂使用百分比分别为:乙酰甲胆碱55.4%(46/83),组织胺38.6(32/83),运动激发3.61%(3/83),冷空气激发2.41%(2/83),高渗盐水7.23%(6/83),同时使用乙酰甲胆碱及组织胺的占8.43%(7/83)。使用各种激发试验的方法百分比为:玻璃手捏式雾化器37.3%(31),射流雾化器潮式呼吸法21.7%(18/83),定量间断深呼吸法14.5%(12/83),定量全自动雾化吸入法61.4%(51/83),一体式气道阻力测定法8.4%(7/83)。首选玻璃手捏式雾化器占27.7%(23/83),射流雾化器潮式呼吸法15.7%(13/83),定量间断深呼吸法9.6%(8/83),定量全自动雾化吸入法50.6%(42/83),一体式气道阻力测定法6.02%(5/83)。使用第一秒用力呼气容积(FEV1)做为激发试验指标占84.3%(70/83)。发生不良反应的占96.7%(80/83),严重不良反应占14.1%(12/83),但均采取相应措施后(休息、吸氧、使用支气管舒张剂)可缓解。结论我国支气管激发试验开展情况有待提高,尤其是二级医院及基层医院开展。使用的激发剂及激发方式种类较多,但以乙酰甲胆碱及组织胺定量全自动雾化吸入法为主,使用评估指标以FEV1为主。
[Abstract]:Objective to investigate and analyze the development of bronchial provocation test in China. Methods Respiratory academic conference or mail questionnaire were used to investigate the development of bronchial provocation test in China. Results 173 questionnaires were collected, among which 48.0% of them were involved in bronchial provocation test, and 78.3% (65 / 83) of them were mainly in third-grade hospitals. The percentages of Acetylcholine, acetylcholine, histamine, histamine and histamine were 38.632 / 83, 3.61 / 83, 2.41 / 83, 7.23% and 833%, respectively. The percentages of various excitation tests were as follows: glass hand nebulizer 37.31, jet atomizer tidal breathing 21.718 / 83, quantitative intermittent breathing 14.512 / 83, quantitative automatic nebulization 61.4 / 51 / 83, one-body airway resistance 8.4m / 83C. The first choice of glass hand-held nebulizer is 27.7 / 83, jet atomizer tidal breathing 15.713 / 83, quantitative discontinuous breathing 9.6 / 83, quantitative automatic nebulization 50.6 / 42 / 83, and integrated airway resistance 6.0255 / 83nil / 83.The first choice is the glass hand-held nebulizer (27.7 / 83), the jet atomizer tidal breathing method (15.775 / 83), the quantitative discontinuous breathing method (9.6% / 83), the quantitative automatic atomization inhalation method (50.6% / 83), and the integrated airway resistance measurement method (6.0255 / 83). The first second forced expiratory volume (FEV 1) was used as a test indicator for the excitation test. The incidence of adverse reactions was 96.7% / 83%, and that of severe side effects was 14.1% / 83%, but the corresponding measures (rest, oxygen inhalation, bronchodiastolic agent) could be alleviated. Conclusion bronchial provocation test needs to be improved in China, especially in level 2 hospitals and primary hospitals. Many kinds of activators and modes were used, but methacholine and histamine quantitative automatic atomization inhalation was the main method, and FEV1 was the main evaluation index.
【作者单位】：广州医科大学附属第一医院广州呼吸疾病研究所(呼吸疾病国家重点实验室呼吸疾病国家临床研究中心);
【分类号】：R562.2

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