支气管哮喘规范化治疗的效果观察

Clinical Effects of Standard Treatment for Bronchial Asthma

目的明确支气管哮喘规范化治疗和管理对提高哮喘临床疗效的重要性。方法回顾性分析2009年1-12月在哮喘门诊规范使用G INA方案诊治的70例哮喘患者临床资料,观察规范化治疗组和一般治疗组治疗前后的临床效果。结果规范化治疗组与一般治疗组比较,支气管哮喘急性发作次数、发作频率、持续时间、误工误学时间均有所减少;规范化治疗组哮喘急性发作时严重程度分布治疗前后差异有统计学意义（P〈0.05）;两组患者治疗前后FEV1占预计值百分比和PEF占预计值的百分比比较差异均有统计学意义（P〈0.05）,但组间比较无统计学意义（P（0.05）;两组ACT评分治疗前后比较差异均有统计学意义（P〈0.05）,组间比较,治疗后ACT评分比较差异有统计学意义（P〈0.05）;两组总控制率比较差异有统计学意义（P〈0.05）。结论按照G INA方案,实行规范化治疗、正确的教育和管理可以提高哮喘的临床治疗效果。

Objective To investigate the effect of standardized treatment and management on the therapeutic efficacy of bronchial asthma.Methods The clinical data of 80 outpatient cases with asthma diagnosed and treated according to GINA guidelines from January 2009 to December 2009 were analyzed retrospectively,the clinical results were observed and compared to the general treatment group before and after the treatment.Results Compared with the general treatment group,the number of acute attack,seizure frequency,and duration of attack and loss of working time were reduced in the standard treatment group.The severity distribution of acute asthma before and after treatment was statistically difference（P0.05） in standard treatment group;there were statistically differences in FEV1/PV,PEF/PV and ACT score before and after treatment in both groups（P0.05）;There was statistically difference in ACT score,but not in FEV1/PV and PEF/PV between the two groups.The good control rate increased significantly（P0.05） in the standard treatment group.Conclusion The clinical treatment effects can be improved by implementation of standardized treatment,right education and management followed by GINA guidelines.