门诊哮喘患儿哮喘控制和治疗现况的观察性-研究.pdf

ABSTRACT Objective: To evaluate the current level of asthma control among the asthmatic children outpatients. To survey the proportion of patients who combine with allergic rhinitis(AR) and how AR affect asthma control. It also observes current treatments and the using of medical resource of Pediatric outpatients. Explore the relevant factors with asthma control. Methods: Face to face questionnaire investigation was conducted among 2-16 years old asthma outpatients during November 2012 to March 2013 in Shenzhen children’ s hospital. Use GINA standard, C-ACT and ACT to evaluate the control level among 2-3 years old, 4-11 years old and 12-16 years old children respectively. To assess the effect of asthma on quality of life by complete PedsQL 3.0 or PAQLQ inventory. To investigate the risk factors for childhood asthma by using logistic regression analysis method. Results: 173 patients had completed the questionnaires (14 cases of Cough Variant Asthma), 29 cases of 2-3 years old, 79 cases of 4-6 years old, 55 cases of 7-11 years old, 10 cases of 12-16 years old; 112 cases of male, 61 cases of female. ① Asthma control situation:the percentage of controlled, partly controlled and uncontrolled was respectively 32.95%(57/173), 23.70%(41/173), 43.35% (75/173). ② 56.06% of patients were diagnosed with AR by doctors, Of these, 58.76% (57/98) patients with moderately severe AR, 46.94% (46/98) patients without treatment of AR in lately 4 weeks. Asthma combined with AR in patients with complete controlld was 23.47% (23/98), partly controlld was 26.53% (26/98), uncontrolled was 50.00% (49/98). ③ Drug treatment: 78.61% (136/173) patients used control drug therapy, 45.59% (62