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目的 调查国内儿科呼吸专业医师对全球哮喘防治战略 (GINA)的了解及掌握程度。方法 由首都儿科研究所哮喘防治与教育中心制订有关GINA方案的调查问卷 ,于 1997～ 1998年在国内 8个省份 12个城市的哮喘培训班或讲座前向参加的专业医师共 70 0人发放问卷。结果 能正确选择哮喘的病理基础是气道慢性炎症者占 5 6 %～ 97 5 % ,选择中度以上哮喘的最重要治疗是吸入疗法者占 2 8%～ 83 3 % ,对哮喘非重症急性发作时最佳的给药方式选择吸入者占 6 4%～ 10 0 % ,能正确使用峰流速仪并记录曲线者占 0～ 2 4 5 % ,已执行GINA方案者为 0～ 36 %。结论 专业医师必须正确认识哮喘的新观念、吸入疗法及应用峰流速仪等作为哮喘病情及治疗监测指标等新方法 ,加强对GINA方案的推广应用
Objective To investigate the understanding and mastery of global asthma control strategies (GINA) among domestic pediatric respiratory specialists. METHODS: A questionnaire on the GINA protocol was developed by the Center for Asthma Control and Education of the Peking University Institute of Pediatrics. Questionnaires were distributed to a total of 700 participants from asthma training classes or lectures in 12 cities of 8 provinces in China from 1997 to 1998. . Results The pathological basis for the correct selection of asthma was chronic bronchitis with 56% to 975% of chronic inflammation. The most important treatment for moderate to moderate asthma was inhalation therapy, which accounted for 28% to 83% of non-heavy asthma. The best method of infliction at the onset of inhalation accounted for 6 4% to 10% of the inhalers. The correct use of the peak flow meter and the recording of the curve accounted for 0 to 2 45%, and the implementation of the GINA protocol was 0 to 36%. Conclusion Professional physicians must correctly understand new concepts of asthma, inhalation therapy, and application of peak flow meters as new methods for asthma conditions and treatment monitoring indicators, and strengthen the promotion and application of GINA solutions.