哮喘急性发作住院患者临床特征的回顾性调查  

A retrospective study of the clinical characteristics of patients hospitalized for asthma exacerbation

作　　者：邢斌[1] 林江涛[1] XING Bin;LIN Jiangtao(Department of Pulmonary and Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,P.R.China)

机构地区：[1]中日友好医院呼吸与危重症医学科,北京100029

出　　处：《中国呼吸与危重监护杂志》2019年第2期124-127,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的了解因哮喘急性发作住院患者的临床特征及治疗情况,为哮喘发作规范化治疗提供参考依据。方法回顾性调查并分析中日友好医院呼吸内科2013年至2014年因哮喘急性发作住院的患者。通过事先设计的病例报告表对患者的一般资料、入院前情况、入院时情况及入院后治疗等信息进行分析。结果因哮喘急性发作住院患者占同期总住院患者的7.5%(250/3 326),9月为哮喘急性发作患者住院的高峰月份。符合纳入标准的哮喘发作住院患者共99例。49.5%(49/99)的患者在入院前1年之内曾因哮喘急性发作住院治疗或急诊就诊。54.5%(54/99)的患者平日未规律应用吸入糖皮质激素治疗。轻度、中度、重度及危重度发作患者分别占12.1%(12/99)、22.2%(22/99)、62.6%(62/99)及3.0%(3/99)。1例患者死亡,哮喘急性发作住院病死率为1.0%。结论哮喘急性发作患者住院具有一定的季节波动性,9月为高峰月份。哮喘急性发作住院患者入院前不规律用药者比例高。Objective To study the characteristics of patients hospitalized for asthma exacerbation during 2013-2014 in China-Japan friendship hospital. Methods This was a retrospective study involving patients hospitalized for asthma exacerbation in China-Japan friendship hospital during 2013–2014. Information about the demographic features, conditions before the admission, the treatment, the complications and the outcome were collected using the pre-designed case report form. Results The patients hospitalized for asthma exacerbation accounted for 7.5%(250/3 326)of the total patients admitted to the respiratory department. September was the peak month when the most asthmatic patients were admitted to the hospital. A total of 99 asthma patients were included for further analysis and consisted of 12 mild-onset, 22 moderate-onset, 62 severe-onset and 3 life threatening-onset. There were 49.5%(49/99) patients who had a history of previous hospitalization or emergency department visits during the last year. There were up to 54.5%(54/99) of patients who didn’t use inhaled corticosteroids before the admission. Only one patient died during the hospitalization. The mortality was 1.0%. Conclusions The number of asthmatic patients admitted to the hospital fluctuates with seasons, and September is the peak month. Only a small part of patients use asthma controllers regularly before the admissions.

关 键 词：哮喘 急性发作 回顾性分析 

分 类 号：R562.25[医药卫生—呼吸系统]