门诊支气管哮喘患者控制现状以及复诊依从性的-第三军医大学学报.DOCVIP

门诊支气管哮喘患者控制现状以及复诊依从性的影响研究 吴颖，张巧，万敏，林科雄，曾兰，王彦，程晓明，王长征，马千里（400042 重庆，第三军医大学第二附属医院全军呼吸内科研究所） [摘要] 目的 调查门诊哮喘患者控制水平的现状以及初步哮喘管理对于提高哮喘控制水平的可能获益。 方法 选择2011年7月到2011年9月间在我科门诊就诊的哮喘患者，评估其控制水平和其它临床特征。 结果 共有198名患者完成评测，管理不依从组117例，依从组81例；整体哮喘控制测试（Asthma Control Test, ACT）评分平均(18.08±4.67)分，6.57%的患者ACT得分25分；依从管理组患者哮喘控制水平、治疗依从性、急性加重的频率和患者比例等均显著优于不依从管理的患者，而两组间患者对卫生经济负担的负担能力相当。结论 门诊哮喘患者控制率低，初步实施哮喘管理即可显著提高患者哮喘控制水平。 [关键词] 哮喘，哮喘控制，哮喘控制测试，哮喘管理 [中图法分类号] [文献标志码] A Control level of Outpatient with Asthma and the impact of the initial implementation of asthma management Wu Ying, Zhang Qiao, Wan Min, Lin Kexiong, Zeng Lan, Wang Yan, Chen Xiaoming, Wang Changzheng, Ma Qianli（Institute of respiratory Diseases, 2nd Affiliated Hospital of Third Military Medical University，Chongqing 400037，China） [Abstract]: Objective Investing the current situation of the control level of asthma patients and the benefit of preliminary asthma management for improving the level of asthma control. Method Selecting the diagnosed Asthma patients from our hospital from July 2011 to September 2011 and evaluating the level of asthma control and other clinical characters. Result Total of 198 patients completed the evaluation. There are 117 patients in non-compliance management group and 81 patients in compliance management group. Total CAT score is 18.08±4.67. There are 6.57% patients get 25 scores. The patients in compliance management group with asthma control level, compliance with treatment, acute exacerbation frequency and exacerbation proportion of patients are significantly better than patients in non-compliance management group. The patients affordability of the health and economic burden is same between two group. Conclusion The asthma control rate is still low and the initial implementation of asthma management can significantly improve it. We should actively promote the implementation of asthma management. [Key word] Asthma; Asthma Control; ACT; Asthma Management Corresponding