基层医生对哮喘防治用药认识的不足与误区

Insufficient and misleading understanding about treatment and prevention of childhood asthma among community doctors

目的了解基层医生对吸入疗法及哮喘相关药物作用和用法的认识。方法以问卷形式调查基层医生对哮喘治疗的认识。结果家长由于恐惧激素的副作用产生的依从性差是临床哮喘防治的最棘手问题;基层医生尚未全面认识吸入激素、长效β2激动剂以及白三烯受体拮抗剂的用法和特点;正规参加哮喘学习班的医生对哮喘治疗全面认识的正确率明显高于未参加学习班的医生。结论有必要进一步推广吸入疗法在哮喘长期预防中的主导地位,强化基层医生对哮喘用药的认识,而定期举办哮喘继续教育学习班不失为一种行之有效的方法。

Objective: To investigate community doctors' knowledge on the treatment and prevention of asthma. Method: Questionnaires were designed for this investigation. Results: The incompliance of parents to inhaled corticosteroid is the hardest obstacle against the prevention of asthma. The usage of inhaled corticosteroid, long-acting beta-2 agonist and leukotriene modifier had not been exactly understood by community doctors. However, continue study could help improve community doctors' understanding of right treatment and preventing of asthma. Conclusion: It is necessary to emphasize the importance of the training of community doctors in the treatment and prevention of childhood asthma.