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目的探讨健康教育对职业性哮喘的影响。方法选取2011年5月-2015年5月佛山市顺德区龙江医院呼吸专科门诊接诊的120例从事家具制造业的哮喘患者为研究对象,随机分成教育组68例和对照组52例。对照组均按照病情常规吸入丙酸氟替卡松、万托林气雾剂、口服顺尔宁及茶碱缓释片等常规治疗,教育组在此基础上进行健康教育,定期随访,指导正确使用皮质激素。结果教育组哮喘控制良好率为94.1%,与对照组的82.7%相比较,差异具有统计学意义(P<0.05)。教育组小剂量茶碱缓释片、β2受体激动剂和顺尔宁等药物使用情况显著优于对照组,差异有统计学意义(P<0.05)。随访1年中,教育组复发率为5.9%,与对照组的46.2%相比较,差异具有统计学意义(P<0.05)。结论健康教育能提高职业性哮喘患者的临床治愈率,减少复发,预防发作,有助于提高疗效。
Objective To explore the impact of health education on occupational asthma. Methods From May 2011 to May 2015, 120 cases of asthma patients engaged in furniture manufacturing were enrolled in the Respiratory Specialist Outpatient Department of Longjiang Hospital, Shunde District, Foshan City. The subjects were randomly divided into the education group of 68 cases and the control group of 52 cases. The control group were routinely treated with fluticasone propionate, vanoterm aerosol, oral salbutamol and theophylline sustained-release tablets according to the condition. The education group conducted health education on this basis and followed up regularly to guide the correct use of corticosteroids . Results The rate of asthma control in the education group was 94.1%, which was significantly lower than that in the control group (82.7%) (P <0.05). The use of low-dose theophylline sustained-release tablets, β2-agonists and sialnin in the education group was significantly better than that in the control group (P <0.05). The follow-up of 1 year, the education group recurrence rate was 5.9%, compared with 46.2% in the control group, the difference was statistically significant (P <0.05). Conclusion Health education can improve the clinical cure rate of occupational asthma patients, reduce recurrence and prevent seizures, and help to improve the curative effect.