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目的探讨在经济欠发达农村地区支气管哮喘病管理模式。方法通过对支气管哮喘病控制知识的培训,提高基层医务人员对支气管哮喘患者的诊治能力,哮喘患者给予倍录米松吸入,并进行管理,每3个月评估1次,决定升级还是降级治疗,1年后重新评估。结果 2008年5~12月共发现哮喘患者101例,其中间歇性哮喘10例,持续性哮喘91例,71例持续性哮喘患者接受吸入激素治疗;1年后评估:改善12例,稳定7例,死亡2例,丢失50例。结论培训基层医师、定期督导的结核病管理模式,可以用于经济欠发达的农村地区哮喘患者管理。
Objective To explore the management of bronchial asthma in economically underdeveloped rural areas. Methods The training of bronchial asthma control knowledge was improved to improve the ability of primary medical staff to diagnose and treat bronchial asthma patients. Asthma patients were given inhaled betamethasone and administered once every 3 months to decide whether to upgrade or downgrade 1 After years re-evaluation. Results A total of 101 asthma patients were found in the period from May 2008 to December 2008, of which 10 were intermittent asthma, 91 were persistent asthma, and 71 were treated with inhaled corticosteroids. One year later, they were improved in 12 and stable in 7 , 2 died, 50 lost. Conclusions The training of grassroots physicians and regularly supervised tuberculosis management models can be used to manage asthma patients in economically underdeveloped rural areas.