外来流动人口中支气管哮喘患者诊治现状的调查分析  

An analysis of the survey data on diagnosis and management situation in athmatic patients in floating population

作　　者：陈池云[1] 胡征[1] 

机构地区：[1]温州医学院附属慈溪医院慈溪市人民医院呼吸内科,315300

出　　处：《国际呼吸杂志》2014年第11期801-804,共4页International Journal of Respiration

摘　　要：目的了解门诊外来流动人口中支气管哮喘（简称哮喘）患者诊治特点，分析存在的不规范因素，为流动人口的哮喘规范管理提供参考依据，提高哮喘控制率。方法采用问卷调查方式，共调查2011年3月至2012年4月我院门诊228例哮喘患者，比较外来患者与本地患者的诊治特点，并在规范化治疗后对164例随访患者哮喘控制情况做调查。结果外来患者与本地患者对哮喘的认识正确比率分别为19．23％与29．03％，两者比较，差异无统计学意义（P=0．087）；未使用过吸入糖皮质激素的比例分别为88．46％和83．87％，两组比较，差异无统计学意义（P〉0．05）；外来患者与本地患者哮喘月均治疗费用分别为（352．12±213．70）元和（488．06±430．73）元，前者更低，但月均治疗费用占家庭收入的比例外来患者更高，两者比较，差异有统计学意义（P〈0．05）。经过规范化治疗后，外来患者的哮喘控制率为94．12％，本地患者为95．83％，两者比较，差异无统计学意义P〉0．05；外来患者月均费用下降为（186．03±85．90）元，较规范治疗前明显下降，差异有统计学意义（P〈0．01）。结论外来患者对哮喘认识尤为不足，治疗不规范现象严重，相比本地患者，其医疗经济负担更大。经过规范化治疗后，外来患者的哮喘控制率与本地患者基本一致，治疗费用明显降低，故规范化治疗对于外来流动人口中的哮喘患者更需强调。Objective To evaluate the characteristics of diagnosis and treatment of asthma patients in floating population. To provide reference evidence for decision making on the standardized management of asthma by analyzing the nonstandard factors. Methods A questionnaire based investigation was performed from March 2011 to April 2012 among 228 outpatients of asthma. The characteristics of diagnosis and treatments were compared between patients from local and floating population. The control status was evaluated by following 164 patients receiving standard treatment. Results After investigating floating and local patients of asthma, the rates of correct disease understanding of asthma were 19.23% and 29.03% respectively, P 〉0.05. The rates of not having inhaling steroid treatment were 88.46% and 83.87 %, P 〉0.05. The expenses of floating and local patients in treating asthma per month was （352.12 ±213.70） RMB and （488.06±430.73） RMB. After standard treatment, the rates of disease control were 94.12% and 95.83%, P 〉0.05,and the monthly expense had a significant decrease by （186.03±85.90） RMB in floating patients. Conclusions Asthma patients from floating population lacked complete understanding and standard treatment. Their expenses on asthma were heavier than patients from local population. But after standard treatment, the expenses had a significant decrease and the asthma control rate increased as the same as patients from local population. We suggest that standard treatment is anecessity in asthma patients from floating population.

关 键 词：哮喘 规范化治疗 流动人口 

分 类 号：R562.25[医药卫生—呼吸系统]