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目的:探讨成年人支气管哮喘的院外治疗情况、诱发因素及促使病情转级的相关因素。方法:对1995～1999年间确诊为支气管哮喘并乐意接受随访的187例患者经门诊的随访、家访或电话随访的方式随访二年,记录其院外发作情况、发作诱因、用药情况及依从性治疗、并发症及转归。结果:我市成年人支气管哮喘患者的病情大部分处于2级状态(62.03％);诱发哮喘发作的因素依次为呼吸道感染(54.6％)、气候变化或冷空气(43.31％)、鼻炎或鼻窦炎(38.5％)等;发作时院外治疗以茶碱类药物应用较普遍(71.3％),联合全身应用糖皮质激素(71.14％)及/或抗生素(95.72％)较多,吸入型糖皮质激素应用较少(7.595),治疗的认依从性差,经常更换治疗及乱投医现象严重(66.84％)。结论:我市成年人支气管哮喘的院外治疗很不规范。
OBJECTIVE: To investigate the outpatient treatment of asthma in adults, the predisposing factors and the related factors to promote the escalation of the disease. Methods: A total of 187 patients diagnosed as bronchial asthma who were willing to follow up from 1995 to 1999 were followed up for two years by outpatient visit, home visit or phone follow - up. Their outpatient seizures, seizures, medication and compliance were recorded. Complications and outcome. Results: Most of the adults with bronchial asthma in our city were in grade 2 state (62.03%). The factors causing asthma attack were respiratory tract infection (54.6%), climate change or cold air (43.31%), rhinitis or sinusitis (38.5%). The incidence of out-of-hospital treatment of theophylline drugs was more common (71.3%), systemic glucocorticosteroid (71.14%) and / or antibiotics (95.72% Less (7.595), the treatment of admittance is poor, frequent replacement therapy and chaotic surgery serious (66.84%). Conclusion: The treatment of bronchial asthma in our hospital is very irregular.