摘要
目的调查西南医院门诊哮喘合并变应性鼻炎（AR）患者的分布情况,分析二者在临床表现方面的相关性及患者对AR的认知程度和治疗现状。方法选取2013年1~9月西南医院收治的哮喘患者250例进行面对面的问卷调查,了解其哮喘病史、严重程度分级、哮喘控制测试（ACT）评分和鼻炎情况,并建立个人数据档案。结果 250例哮喘患者中,161例（64.4%）合并AR,单纯哮喘组（A组）和哮喘合并AR组（B组）在年龄、性别、病程等方面差异无统计学意义（P〉0.05）。B组中轻度持续、中度持续、重度持续例数均高于A组,差异有统计学意义（P〈0.05）;ACT评分显示完全控制、一般控制例数均低于A组,差异有统计学意义（P〈0.05）;未控制哮喘高于A组,差异有统计学意义（P〈0.05）。AR起病早于哮喘占58.3%,两者同时起病占12.7%。32.8%患者曾经检测过敏原,22.6%患者使用药物治疗鼻炎。结论重庆地区哮喘合并AR发生率高,认知程度较低,治疗现状不容乐观。
Objective To survey the distribution situation of asthma complicating allergic rhinitis（AR） ,to an- alyze their correlation in the clinical manifestations,and to investigate the patients cognitions and treatment current situation AR. Methods The face-to-face questionnaire survey was performed between doctor and patients from Janu- ary to September,2013 for understanding the asthma history, severity classification, asthma control test （ACT） and rhinitis status in details. The personal data files of each patient were established for conducting statistic analysis. Re- suits In 250 cases of asthma, 161 cases （64.4%） were complicated with AR. The differences in the age, sex and dis- ease course between the asthma complicating AR（group B） and the simple asthma group（group A） had no statistical significance （P〉0.05）. The cases number of mild persistence,moderate persistence and in the group B was higher than that in the group A, the difference was statistically significant （P〈0.05） ;the ACT scores showed that the cases number of complete control,general control in the group B was lower than that in the group A with statistical differ- ence between them（P〈0. 05） ,while the cases number of uncontrol was higher than that in the group A, the differ- ence was statistically significant （P〈0.05）. In the group VB,58.3 % of the patients got AR earlier than asthma and both simultaneous onset accounted for 12.7%. 32.8% of the patients were conducted the allergen test and 22.6% of the patients used the drug treatment. Conclusion The morbidity of asthma complicating AR is high,the cognition de- gree is low and the treatment status is not optimistic in Chongqing area.
出处
《检验医学与临床》
CAS
2015年第16期2359-2361,共3页
Laboratory Medicine and Clinic
关键词
变应性鼻炎
支气管哮喘
流行病学
相关性
allergic rhinitis
bronchial asthma
epidemiology
correlations
