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目的:了解农村地区支气管哮喘(简称哮喘)控制现状。方法:采用现况调查的方法对怀远县县乡两级医疗机构哮喘控制现状进行调查。结果:调查所有医疗机构均未设哮喘专科门诊,无哮喘专科医生,哮喘诊治新知识极度贫乏,基本不了解《全球哮喘防治创议》和现代哮喘管理方案。诊断的主要仪器设备为X光机和听诊器,无肺功能仪和峰流速仪等肺功能检测与评估设备,漏诊和误诊较为普遍。仅使用口服激素、支气管舒张剂和大剂量抗生素治疗,医疗机构无吸入性糖皮质激素,患者的治疗仅是临时缓解症状,未进行长期随访和管理。结论:农村地区哮喘防治水平极为低下,必须加大农村地区哮喘防治力度。
Objective: To understand the status quo of bronchial asthma control in rural areas. Methods: To investigate the status of asthma control in medical institutions at county and township level in Huaiyuan county by means of current situation survey. Results: There was no asthma specialist clinic, no asthma specialist and no knowledge of asthma diagnosis and treatment in all the medical institutions. There was little understanding of the Global Initiative for Asthma Prevention and Management and modern asthma management programs. The main diagnostic equipment for X-ray machines and stethoscopes, non-pulmonary function meter and peak velocity meter and other pulmonary function testing and evaluation equipment, misdiagnosis and misdiagnosis are more common. Only oral hormones, bronchodilators and high-dose antibiotics were used. No inhaled glucocorticoids were used in medical settings. Patients were treated only for temporary relief of symptoms without long-term follow-up and management. Conclusion: The level of prevention and treatment of asthma in rural areas is very low, we must increase prevention and treatment of asthma in rural areas.