宁波市鄞州区农村卫生院哮喘防治状况

Analysis of Control Situation of Asthma in Rural Clinics of Ningbo City in Zhejiang Province

目的了解宁波市鄞州区农村哮喘防治情况。方法问卷调查鄞州区23家乡镇卫生院部分内科和儿科医生、急诊室护士、药房药剂人员及医院院长。查看药房药柜中所陈列的相关药品,并查阅当天哮喘处方。结果共调查成人内科医生86人,小儿内科医生51人,药剂人员34人,急诊室护士38人,院长20人。21.2%的医生认为哮喘需要分级治疗,56.2%的医生完全不知道《全球哮喘防治创议》,14.6%的医生不知道我国《哮喘防治指南》。82.6%的卫生院药房有吸入型抗哮喘药物,但应用较少。有4家卫生院采用吸入普米克令舒、β2激动剂溶液治疗哮喘急性发作,但都仅应用于儿科病人。全部卫生院对哮喘急性发作的治疗以静脉注射氨茶硷、糖皮质激素、抗生素为主。20名院长均支持规范化防治哮喘。结论该地区农村卫生院的哮喘防治不够规范,农村基层医生需进一步掌握哮喘相关知识。

Objective To learn the situation of the prevention and treatment on Asthma in rural clinics of Ningbe city. Methods Questionnaire surveys were carded out among the directors, doctors from internal medicine and pediatrics department, emergency nurses and pharmacists in 23 rural clinics in Ningbe city. Related drugs in the pharmacy and asthma prescriptions of the day were inspected. Results Investigations were carried out among 86 internists, 51 pediatricians, 34 chemists, 38 emergency nurses and 20 directors in 23 rural clinics in Yinzhou District. 21.2% of doctors considered that the asthma needs grading treatment, 56.2% of doctors did not have any idea about GINA; 14.676 of doctors did not know the Chinese guideline for asthma treatment; 82.6% of the clinic pharmacies had inhaled formulations of anti-asthma medications. 4 hospitals had the inhaled General Mick suspension liquid and 62 agonist solution to only treat children asthma. The dominant method to treat the acute attack asthma in all bespitals was intravenous antibiotics, dexamethasone and aminophylline. The directors of the hospitals had positive attitudes towards the standardization of asthma prevention and treatment. Conclusion The prevention and treatment of asthma in Ningbe rural areas are still lack of standardization and the problem of asthma education among rural doctors has to be solved urgently.