攀枝花地区女性支气管哮喘调查  

Analysis of the bronchial asthma among females in Panzhihua

作　　者：于红[1] 聂岚[1] 胡强[1] 

机构地区：[1]攀枝花学院临床医学院,四川攀枝花617000

出　　处：《现代预防医学》2017年第16期2968-2971,共4页Modern Preventive Medicine

基　　金：攀枝花市市级课题(2014TX-10-4)

摘　　要：目的分析攀枝花地区女性哮喘加重住院临床特点,为哮喘防治提供依据。方法调查2011-2014年攀枝花地区482例女性哮喘临床资料,对发作诱因、严重程度、临床表现、合并疾病及治疗预后情况进行回顾性分析。结果女性急性支气管哮喘患者482例,分青壮年组、中年组和老年组,中、老年组发作诱因以呼吸道感染、气候变化为主要诱因,与青壮年组比较差异有统计学意义(P<0.05),药物应用老年组高于青壮年组和中年组(P<0.05);不同年龄组在哮喘发作程度上差异有统计学意义,两两比较后中老年组重度以上发作高于青壮年组(P<0.05);合并疾病以高血压、冠心病、糖尿病等居多,中老年组高于青壮年组(P<0.05)。结论各年龄段发作诱因均以呼吸道感染、吸入变应原和气候变化为主要诱因,中老年组重度以上发作增多,常合并多种疾病,程度更重,诊断治疗也更为复杂。Objective The aim of this study was to analyze the clinical characteristics of hospitalized women with bronchial asthma exacerbation in Panzhihua area and to provides evidence for prevention and treatment of asthma. Methods Based on the clinical data of 482 cases of women with asthma in Panzhihua area from 2011 to 2014, a retrospective analysis was con- ducted on the causes and severity of the attack, the clinical manifestation, the combined disease and the prognosis of the treatment. Results The 482 cases of females with acute bronchial asthma, three groups including young adult, middle-aged and elderly. The main causes of attack among the middle-agec and elderly groups fell on respiratory infection and climate change, which was of statistical significance compared with the young adult group （P 〈0.05）. The drug usage tended to be higher in the elderly group than that in the middle-aged and young adult groups （P 〈0.05）. The incidence of severe asthma was higher in the elderly group than that in the young adult and the middle-aged group （P 〈0.05）. The combined disease was characterized by hypertension, coronary heart disease, diabetes and so on, which occurred more in the elderly group than in the middle-aged and the young adult groups （P 〈0.05）. Conclusion The main causes of attack for all ages were respiratory tract infection, inhalation allergen and climate change. The middle-aged and the elderly groups suffered more from severe at- tacks, often associated with a variety of diseases and more devastating results, leading to more intricate diagnosis and treatment.

关 键 词：攀枝花地区 年龄 女性 支气管哮喘 

分 类 号：R195.4[医药卫生—卫生统计学]