基层医院哮喘的规范化治疗

目的探讨有关基层医院哮喘的规范化治疗。方法采用调查的方式对基层医院门诊及病房住院患者进行研究,采取统一设计的表格与问卷及必要的检查,最后将结果进行总结分析及统计。结果对于基层医院哮喘的规范化治疗与非规范化治疗的患者在花费情况上有着显著差异(P<0.05)。具体而言,基层医院曾有89.45%支气管哮喘被误诊为慢性支气管炎。在治疗的过程中,由于不规范,曾有18.37%的患者采取了吸入激素治疗,有65.91%的患者正在口服私人配制的平喘药物,有73.44%的患者在病情复发后行输液与抗生素治疗,有78.37%的患者行大剂量激素与不规范治疗。结论针对当地基层医院哮喘治疗存在的诸多问题,应及时加强规范化的治疗举措,以便提高基层医院哮喘的治疗效果及规范化管理。

Objective To observe the standard treatment on asthma in primary hospitals. Methods The means of survey was used to study the patients of outpatient and ward.The unified forms and questionnaries, and necessary cheek were adopted.The results were ananlyzed finally. Results Seen from the research results, there was evident difference for expense between standard treatments and non-standard treatments on asthma （P〈0.05）,which had statistical significance.In practical terms,there were 89.45% of patients with bronchial asthma being misdiagnosed for chronic bronchitis.In the process of treatment,because the treatment was not standard,there were 18.37% of the patients receiving the treatment of inhaled corticosteroid,there were 65.91% of the patients taking anti-bronchospasm drugs prepared by the private,73.44% of the patients receiving the treatme.nt of transfusion and antibiotics after recurring, and 78.37% of the patients receiving large dose of hormone and non-standard treatment. Conclusion For the problems of treating asthma in primary hospitals,we should timely take standard measures for improving the treatment effect and standard management on treating asthma in primary hospitals.