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Adult Asthma Diagnosis and treatment of 42 cases


Key words asthma; control; Guide; diagnosis and treatment of 【Abstract】 Objective To investigate the treatment of bronchial asthma in some subordinate hospitals.Methods Global initative for Asthma (Gina) prevention and cure at local place by an investigation into the treat ent of 42 patients who suffer bronchial asthma.Results The 42 patients' average period of the definite diagnosis as 3.5 months.The rate of the lung funtion examination's usage was 11.9% (5 / 42); the Micro-peak machines usage 14.3% (6 / 42); Classified treatment according to the Gina regurements 9.52% (4 / 42). The usage of antibiotic for sudden asthma 88.1% (37/42). Of which 78.6% is unreasonable ( 33/42). the usage of the medicine for controlling symptom was to be proved and the patients couldn't follow the doctors advice very well Conclusion The patients treated according e Global initative for Asthma (Gina) benefit a lot,[link widoczny dla zalogowanych], while the treatment of most patient is tobe improved. 【Key words】 Bronchial asthma; Global Initative for Asthma (Gina); Analysis ofdiagnosis and treatment bronchial asthma (the asthma) is a common medical disorders, the clinical features of chronic or repeated episodes of coughing and wheezing. With the industrialization process and the worsening environmental pollution and asthma morbidity and complications on the rise, asthma has become a serious social problem and lead to world attention. Since 1997, prevention and treatment of bronchial asthma guidelines [1] implementation of the treatment of bronchial asthma since been greatly improved. To understand the current status of our department treatment of bronchial asthma, bronchial asthma, prevention and treatment guidelines mutatis mutandis, the following investigation. 1 clinical data 1.1 General information from June 2005 to November 2007 our department treated 42 patients with bronchial asthma, including 17 males and 25 females. Aged 18 to 52 years, mean 37.8 years old. 18 cases of hospitalized patients and 24 outpatients. History of 3 months to 21 years, data were recorded after detailed history and verification. All patients without serious cardiovascular complications. Exclusion of severe bacterial infection of the lungs. 1.2 diagnostic criteria and treatment of asthma control according to guidelines [1] for treatment, 42 patients are in compliance with diagnostic criteria for bronchial asthma. Sustained attack in which 21 patients with severe, moderate persistent seizures in 18 cases, 3 cases of mild persistent attacks. Classification given to therapy, a month later, according to asthma control test (ACTTM), rates were more than 20 points. Later use of drugs to control asthma treatment and 3 months follow-up rate was 100%. After 6 months, 18 patients were lost to follow-up. 2 results designed questionnaire, meet the diagnostic criteria for asthma, 42 patients with asthma were the general site survey, including age, gender, education level, medication type and number of whether medication compliance, knowledge about the situation of drugs and how to improve the methods of medication compliance, whether for inpatient treatment,[link widoczny dla zalogowanych], and statistical analysis of the above. 2.1 of diagnosis before treatment 42 patients Jieyou asthma, diagnosis and treatment of 34 patients outside the hospital too. Knew the diagnosis of bronchial asthma patients 90.5% (38/42). Which were graded according to medication condition accounted for 9.52% (4 / 42), line ventilation function test were 11.9% (5 / 42), peak velocity meter can be used to monitor the situation of patients with asthma and 14.3% (6 / 42). With antibiotics and cough and asthma in patients treated with traditional Chinese medicine mainly accounted for 88.1% (37/42). 2.2 drug use controlled drugs in patients with long-term use of inhaled corticosteroids 13 people; oral prednisone 9 people; cromolyn sodium 8 people; sustained-release theophylline 8 people; anti-leukotrienes drugs 2 people; long-acting β 2 agonist 2 people. Which hormones betamethasone inhalation aerosol in 9 cases, 3 cases of budesonide, F propionate aerosol in 1. 8 patients used short-acting β 2 agonist aerosol or oral agents as a means to control asthma. 42 patients, other than using the rapid relief of anti-asthma medication,[link widoczny dla zalogowanych], 37 patients treated with antibiotics accounted for 88.1% of the times in which broad-spectrum antibiotics, combined use of antibiotics, use of antibiotics more than 1 week were 78.6% (33/42). Acute attack because they can not insist on controlling drug use accounted for 71.4% (30/42), seasonal onset 47.6% (20/42). 2.3 can not schedule follow-up of the main reasons for economic reasons, 45.2% (19/42), inconvenient, 7.14% (3 / 42), self-service medicine accounted for 19.0% (8 / 42); can not guide the medication by doctors The reason is: once or more seizures accounted for 42.8% (18/42), economic reasons,[link widoczny dla zalogowanych], 23.8% (10/42), because the trust account for 16.7% (7 / 42), other causes 16.7% (7 / 42). 3 discussions , Fan Light [2] that the reasons for poor asthma control effects include asthma diagnosis is not timely, improper treatment and patient compliance is poor. Since first published in January 1995 \academic point of view the treatment of asthma has been widely recognized, in order to improve the efficacy of asthma, GINA proposed to achieve treatment goals, should pay attention to prevention and treatment of asthma. Including the proper use of inhaled corticosteroids (ICS), ICS combined long-acting inhaled β-agonists, ICS and ICS merger combined drugs theophylline,[link widoczny dla zalogowanych], a leukotriene receptor antagonist is essential. Rodrigo [3] recommended in adults with severe asthma will jointly multi-dose anticholinergic drugs and β 2 agonist as a standard treatment. The group of long-term use of inhaled corticosteroids controlled drugs 13 times; sustained-release theophylline 8 people; anti-leukotrienes drugs 2 people; long-acting β 2 agonist 2 people.
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