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目的了解临床医生对儿童哮喘防治的情况。方法首都儿科研究所哮喘中心于2002～2003年,对参加全国儿童哮喘学术会议和山西、广东、福建等地哮喘学术报告会的临床儿科医生,于哮喘会议前或者学术报告会前统一发放哮喘防治推广情况问卷调查表,当时填写完即刻收卷,共收回有效问卷290份(人)。结果253人(87.2%)听说过全球哮喘防治创议(GINA),178人(61.4%)已经执行该方案;272人(93.8%)能够正确认识到哮喘的主要病理基础;峰流速仪的使用率为63.1%(183/290);208人(71.7%)认为中度以上持续哮喘最重要的治疗是联合吸入激素,医生选择联合吸入激素治疗的比例为93.4%(271/290);174人(60%)选择应用局部激素治疗变应性鼻炎。结论各级临床医师对哮喘基础知识、临床用药、GINA方案的应用、峰流速仪及气雾剂的掌握情况均较6年前有明显改善。今后哮喘防治工作应该继续推广GINA,将该方案从大、中城市扩大到小城市、乡村卫生机构等医疗单位。
Objective To understand the clinician’s prevention and treatment of asthma in children. Methods Asthma Center of Capital Institute of Pediatrics From 2002 to 2003, clinical pediatricians attending the National Children’s Asthma Symposium and Asthma Symposium in Shanxi, Guangdong and Fujian all conducted asthma prevention and control before asthma conference or before academic conference Promote the situation questionnaire, was closed immediately completed fill a total of 290 valid questionnaires (people). Results 253 (87.2%) had heard of GINA and 178 (61.4%) had the program implemented; 272 (93.8%) were able to correctly recognize the major pathological basis of asthma; and the use of peak velocity meters (63.1%, 183/290); 208 (71.7%) considered that the most important treatment for persistent asthma over moderate-to-moderate was combination of inhaled hormones. The proportion of physicians choosing combined inhaled steroid treatment was 93.4% (271/290), 174 (60%) choose to use local hormones treatment of allergic rhinitis. Conclusions Clinicians at all levels have significantly improved their knowledge of asthma, clinical use of drugs, application of GINA protocol, peak flow meter, and aerosol mastery over 6 years ago. In the future, prevention and treatment of asthma should continue to promote GINA and expand the program from large and medium-sized cities to small cities and rural health institutions and other medical units.