论文部分内容阅读
【目的】调查分析河北南部哮喘患儿发病及治疗情况,以便采取有效的干预措施。【方法】收集了2005年6月~2007年5月河北省儿童医院呼吸科收治的哮喘患儿共311例,其中男性230例,女性81例。由医生询问病史、查体,调查哮喘发病及治疗情况,包括发作诱因、发病季节、发作特点及治疗等14个因素。【结果】311例哮喘儿冬季发病的最多,夏季最少。哮喘发作时,夜间加重的占50%以上。3岁内发病的占70%以上。发病3 d内出现喘息的占74.60%。本地区哮喘患儿漏诊率高达50%以上,多数患儿未行肺功能检查,使用峰流速仪监测病情的则更少。【结论】目前80%以上哮喘患儿发作期治疗及缓解期维持治疗存在的问题。吸入治疗不良反应发生率相对较少,相对安全。
【Objective】 To investigate and analyze the incidence and treatment of asthmatic children in southern Hebei in order to take effective interventions. 【Methods】 A total of 311 asthmatic children were admitted to Department of Respiratory Department of Children’s Hospital of Hebei Province from June 2005 to May 2007, including 230 males and 81 females. Asked by a doctor history, physical examination, investigation of asthma incidence and treatment, including the onset of incentives, the onset of the season, attack characteristics and treatment of 14 factors. 【Results】 The incidence of asthma in 311 cases was the highest in winter and the lowest in summer. Asthma attack, night aggravate more than 50%. 3 years of age accounted for more than 70%. Within 3 days of onset, wheezing accounted for 74.60%. The rate of misdiagnosis in asthmatic children in this area is as high as above 50%. Most of the children do not have pulmonary function tests, and the use of peak current meter to monitor the disease is less. 【Conclusions】 At present, more than 80% of children with asthma attack during the treatment and remission maintenance treatment problems. The incidence of adverse reactions to inhalation therapy is relatively small, relatively safe.