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1、萬(wàn)方數(shù)據(jù)中華臨床免疫和變態(tài)反應(yīng)雜志CHINESEJOURNALOFALLERGY＆CLINICALIMMUNOLOGY天津市16家醫(yī)院哮喘患者問(wèn)卷調(diào)查俞綺虹#，楊文杰+，林燕萍f天津帝膊辯醫(yī)籪翦內(nèi)辯I天津3∞051)·臨床研究·摘要：目的了解天津地區(qū)支氣管哮喘的危險(xiǎn)因素和診治情況。方法采用天津市哮喘聯(lián)盟制定的統(tǒng)一問(wèn)卷，由天津市哮喘聯(lián)盟16家醫(yī)院的呼吸科醫(yī)生對(duì)門診和住院確診的793例哮喘患者進(jìn)行問(wèn)卷調(diào)查。結(jié)果被調(diào)查哮喘患者成年以后發(fā)病者占78．56％，病史在10年以上者44．39％，合并變應(yīng)性鼻炎者39．97％。哮喘患者幼時(shí)呼吸道感染
2、以病毒、細(xì)菌感染為主，占25．48％。某些環(huán)境因素及食物和藥物均可誘發(fā)哮喘，尤其是刺激氣體。有48．42％的患者不能耐受。精神因素對(duì)哮喘的發(fā)病也具有一定的作用。本次調(diào)查還顯示哮喘患者對(duì)寒冷和干燥的環(huán)境更不耐受。被調(diào)查患者多數(shù)就診于正規(guī)醫(yī)院，53．22％的患者進(jìn)行了肺功能檢查；64．06％的患者使用哮喘指南推薦的吸人激素治療，但仍有49．05％的患者使用不符合治療規(guī)范的抗生素治療。結(jié)論哮喘是一種具有眾多誘發(fā)因素的可防可治的疾病，臨床上要貫徹防重于治的原則，積極尋找和避免觸發(fā)和誘發(fā)因素，制定以糖皮質(zhì)激素吸人為核心的個(gè)體化治療方案。同時(shí)，
3、應(yīng)利用各種方法和手段加強(qiáng)哮喘知識(shí)的宣傳普及。提高基層醫(yī)務(wù)工作者對(duì)哮喘的診治水平，加強(qiáng)哮喘患者的自我監(jiān)測(cè)意識(shí)。關(guān)鍵詞：支氣管哮喘；危險(xiǎn)因素；問(wèn)卷調(diào)查；診斷；治療中圖分類號(hào)：R562．2文獻(xiàn)標(biāo)識(shí)碼：A文章編號(hào)：1673．8705(2008)03-0194．04QuestionnaireSurveyamongPatientsofAsthmainSixteenHospitalsofTianjinYUQi-hong#，YANGWen-jie+，LIYan-ping(DepartmentofRespiratoryMedicine，Tianjin
4、ChestHospital，Tianjin300051，China)ObjectiveTofindouttheriskfactorsofathmaandtocollecttheinformationofdiagnosisandtreatmentofasthmainTi嘶in．MethodUsingtheuniformquestionnairedesignedbyTianjinasthmaalliance，793asthmaticpatientsdiagnosedinout-patientdepartmentandinpatientd
5、epartmentofsixteenhospitalsbelongingtoTianjinasthmaalliancecompletedthequestionnairesurvey．Resultsofthe793asthmaticpatients．78．56％patientwhoseonsetofast}lmawereinadult．44．39％lastformorethantenyears．39．97％wereshowncomplicatedwithallergicrhinitis．Therespiatoryinfectionsi
6、nchildhoodweremainedlyinducedvirusandbacterial．whichaccountedfor25．48％cases．SomeenvironmentalActors，suchasfoodsanddrugscaninducetheattackofasthma，especiallystimulatorygas，whichcannotbetolerated48．42％ofpatients．Psychologicfactorshadanimpactontheattackofasthma．Thesurvyre
7、sultalsoshowedthatasthmaticpatientsweremoreintoleranttocoldanddriedair．Mostofthepatientsinthesurvyweremedicaltreatmentintheformalhospitals．Lungfunctiontestswereperformedin53．22％cases．64．06％wereprescribedinhaledducocorticosteroidaccordingtotheguide-linesforthemanagement
8、ofast}lma，whiletherewerestill49．05％prescribedantibiotics．whichwerenotconsistentwiththeguidelines．ConclusionsAsthmaiSa
