摘要
目的分析老年性哮喘病因、临床表现、诊疗及预后情况等发病规律及特点,指导哮喘的防治工作。方法采用统一问卷调查形式,对该市N家医院的门诊及病房中确诊为哮喘的60岁以上的患者共150例进行调查,其中男76例,女74例,年龄在60~85岁之间,有各医院中的呼吸科医生对已确诊的患者进行询问并准确填写问卷,最后将150份问卷结果进行整合与分析。结果分析150份有效问卷调查可得:(1)老年性哮喘以单纯哮喘与并发慢性阻塞性肺疾病(COPD)为主,其中单纯性哮喘占40.67%,合并有过敏性鼻炎与皮炎者占10.00%,与慢性阻塞性肺疾病(COPD)并存者占39.33%;(2)大多数患者有着10年以上哮喘病史,少数为1年以内发病;(3)发病的最主要因素为吸烟,其次为有害刺激性气体的吸入,哮喘具有季节性特点;(4)常用的检查方法为肺功能检查,常用的治疗药物为支气管扩张剂及抗生素。结论通过问卷调查,总结分析老年性哮喘的发病规律及特点,有助于指导临床对老年性哮喘的防治。
Objective Analyze the cau se, cl inical manifestations, diagnosis and treatment and prognosis of senile asthma by questionnaires thus guiding the prevention and cure work. Methods 150 cases of asthma patients aged from 60 to 85 years in the outpatient ward in N hospitals in our city including 76 males and 74 females were surveyed by the united question-naire, and the confirmed patients were enquired by the doctors in the department of respiration in various hospitals and the questionnaire was accurately filled in, finally, the results of 150 pieces of questionnaires were sorted up and analyzed. Re-sults The analysis showed that the senile asthma was dominated by the simple asthma and COPD, and the simple asthma accounted for 40.67%, and the asthma with anaphylactic rhinitis and dermatitis accounted for 10.00% and the asthma with COPD accounted for 39.33%, and most patients had the asthma history with 10 years, and onset within 1 year was in few, and the most important factor of onset was smoking, and the second was the inhalation of harmful irritative gas, and the asthma has the seasonal features, and the common examination method was the lung function examination, and the common treatment drug was the bronchodilators and antibiotics. Conclusion The summarization and analysis of onset law and fea-tures by the questionnaires contributes to guiding the prevention and cure of senile asthma in clinic.
出处
《中国卫生产业》
2017年第15期171-172,共2页
China Health Industry