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目的:调查分析基层医院儿科医生的儿童哮喘诊治与认知情况,为加强基层儿科医师的培训提供参考。方法:随机选取某地区10家医院的儿科医生进行不记名问卷,调查哮喘病防治知识培训情况,以及对儿童哮喘检查、转归、吸入疗法和疗程等的认知情况。结果:共调查120人,65.83%的人接受或参加过培训;认为儿童哮喘需检查肺功能和过敏原者分别为92人和102人;诊断儿童哮喘后(除急诊或重症外)会选用最多的药物依次为吸入激素、β2受体激动剂、白三烯调节剂,分别占95.83%、67.50%和58.33%;58.22%的医师认为要掌握吸入疗法。结论:现阶段基层医院的儿科医师对儿童哮喘的认知程度远未达到客观标准,应进一步强调专业培训,搞好儿童哮喘防治工作。
Objective: To investigate the diagnosis and treatment of childhood asthma by pediatricians in primary hospitals and to provide a reference for strengthening the training of primary pediatricians. Methods: Pediatric doctors in 10 hospitals in a certain area were randomly selected to conduct anonymous questionnaire to investigate the training of knowledge on prevention and treatment of asthma, as well as the cognition of children’s asthma examination, outcome, inhalation therapy and course of treatment. Results: A total of 120 persons were surveyed and 65.83% of them received or participated in the training. 92 children and 102 people were considered as children with asthma to be tested for pulmonary function and allergen, respectively. After diagnosis of children with asthma (except emergency or severe illness) Of the drugs were inhaled hormones, β2 receptor agonists and leukotriene regulators, accounting for 95.83%, 67.50% and 58.33% respectively; 58.22% of physicians thought it necessary to master inhalation therapy. Conclusion: At this stage, pediatricians in primary hospitals are far from achieving objective criteria for asthma in children. Professional training should be further emphasized to prevent asthma in children.