Survey of asthma control and perception in asthmatic 0utpafients of Beijing urban district

目的 了解北京市城区近年来哮喘患者的控制现状和对疾病的认知程度,评估近年来推广哮喘规范化治疗的效果.方法 选择2007年6-12月在卫生部中日友好医院、北京大学第一医院和北京市天坛医院呼吸内科门诊就诊的哮喘患者,采用医师与患者面对面的方法 进行问卷调查.结果 共完成问卷360份.90.3%(325例)的患者享有医疗保障.在过去1年中,因哮喘住院者占12.2%(44例),急诊就医者占25.6%(92例);因哮喘请假误工的在职患者占29.6%(65/220),请假误学的学生占26.9%(7/26);87.8%(316例)曾进行过肺功能的检查,29.2%(105例)使用过峰流速仪监测病情;68.6%(247例)长期吸入糖皮质激素治疗哮喘,30.6%(110例)达到哮喘控制.结论 北京市哮喘患者的总体控制水平有明显改善,患者对疾病的认知程度对其疾病控制水平有明显影响.Objective To evaluate the status of asthma eontrol and asthma perception in asthmatic outpatients of Beijing urban district.Methods A questionnaire survey in a face-to-face setting was conducted among 360 asthmatie out.patients,144 males and 316 females,aged(48±15),from Jun 2007 to Dec 2007 in 3 class 3 first level general hospitals in 3 Beijing urban districts.Results Among 360 asthmatic patients,325(90.3%)enjoyed various kinds of social insurance.During the past year,12.2%(44/360)of them were in hospital because of asthma exacerbation,25.6%(92/360) of them had visited emergency department because of asthma exacerbation;the percentage of adults with lost workdays caused by asthma was 29.6%(65/220),and the percentage of children with lost schooldays Was 26.9%(7/26);87.8%(316/360)of the respondents had undergone a lung-function test,29.2%(105/360)had ever used peak flow meter:68.6%(247/360)of these patients had been used inhaled cortieosteroids regularly for a long time,and 30.6%(1 10/360)of them achieved asthma control.Conclusions The levels of asthma control and asthma perception among the asthma patients in Beijing have been improved a lot.The asthma perception of the patients influences the control level greatly.中华医学会临床医学科研专项基金中文核心期刊要目总览(PKU)中国科技核心期刊(ISTIC)中国科学引文数据库(CSCD)08529-5328