摘要
目的了解海南省儿童支气管哮喘临床缓解期控制用药情况,加强用药依从性。方法以2008儿童支气管哮喘诊断与防治指南推荐的长期治疗方案为标准回顾性分析218例因支气管哮喘急性加重到海南省人民医院儿科就诊的患儿临床缓解期控制性药物的使用情况,分析药物使用与哮喘诊断、哮喘病程的关系,以及未规律用药的原因。结果 218例哮喘患儿在临床缓解期未规范使用控制性药物者达168例(77%),包括既往未诊断哮喘111例(50.9%)和已诊断哮喘但未用药的57例(26.1%),仅50例(23%)在临床缓解期按医嘱规律使用控制性药物。已诊断哮喘超过1年的患儿67人,其中规律用药36人(53.7%);诊断哮喘未超过1年的患儿40人,其中规律用药14人(35%),差异无统计学意义。已诊断哮喘但未规律用药的前三位原因是担心药物副作用(22例),认为已治愈(11例),患儿不配合治疗(9例)。结论哮喘患儿临床缓解期坚持控制用药依从性差,应及时诊断哮喘并加强用药依从性的健康教育。
Objective To understand the control medication situation of bronchial asthma in children at the stage of clinical remission in Hainan province, and improve medication compliance. Methods The control medication of 218 cases in clinical remission who were hospitalized in pediatric department, Hainan Provincial People＇s Hospital due to acute exacerbation of asthma in children,were analyzed retrospectively. Results Among the 218 cases in clinical remission, 168 cases did not take control medication regularly（77%）, including 111 cases of undiagnosed asthma in previous years（50.9%）and non-medication 57 cases of diagnosed asthma（26.1%）; only 50 cases in clinical remission could obey doctors′ advice and took control medication regularly. 67 children had been diagnosed with asthma more than1 year, among them 36 children took medication regularly（53.7%）; 40 children had been diagnosed with asthma less than 1 year, among them 14 children took medication regularly（35%）. There was no statistical significant difference. The top three causes for irregular treatment of diagnosed asthma were drug side effect（22 cases）, thought to have been cured（11 cases）, children who do not cooperate with the treatment（9 cases）. Conclusion Medication compliance of bronchial asthma in children at the stage of clinical remission was poor, and should have timely diagnosis and strengthen the health education of medication compliance.
出处
《热带医学杂志》
CAS
2015年第11期1514-1516,共3页
Journal of Tropical Medicine
关键词
儿童
哮喘
临床缓解期
用药依从性
Childhood
Asthma
Clinical remission
Medication adherence
