瑞典初级医疗机构中的哮喘控制：2001年与2005年比较
2009/07/10
目的：比较2001年和2005年瑞典初级医疗机构对哮喘的控制程度。
方法： 2001年和2005年分别对来自42个和56个初级医疗中心的随机选取的1012名和224名哮喘患者进行类似的问卷调查，患者年龄为18～45岁之间。基于问卷调查内容，对哮喘控制进行分类，方法与GINA指南类似。
结果：2001年，36.6%的哮喘患者获得较好控制，23.8%的患者哮喘得到部分控制，39.6%的患者未得到控制。而2005年，相对应的比率分别为40.2%，26.8%和33.0%。两个调查在哮喘控制率上无显著性差异（P=0.114）。更多女性患者（2001年P <0.001；2005年P <0.05）和吸烟者（2001年P <0.01；2005年P <0.01）未得到控制。联合使用激素/长效支气管扩张剂的患者分别增加34.2%和48.2%（P <0.001），许多患者周期性使用糖皮质激素吸入治疗。
结论：尽管已经颁布了哮喘的治疗指南，但瑞典初级医疗机构中的哮喘患者仍然未得到较好控制。
（苏楠 审校）
Prim Care Respir J. 2009 May 19. pii: pcrj-2008-08-0072. doi: 10.4104/pcrj. 2009.00024. [Epub ahead of print]
Asthma control in primary care in Sweden: a comparison between 2001 and 2005.
Ställberg B, Lisspers K, Hasselgren M, Janson C, Johansson G, Svärdsudd K.
Department of Public Health and Caring Sciences - Family Medicine and Clinical Epidemiology, Uppsala University Science Park, Sweden.
AIM: To compare the degree of asthma control in 2001 and 2005 in a primary care setting in Sweden.
Department of Public Health and Caring Sciences - Family Medicine and Clinical Epidemiology, Uppsala University Science Park, Sweden.
AIM: To compare the degree of asthma control in 2001 and 2005 in a primary care setting in Sweden.
METHOD: Two similar questionnaire surveys were performed in 2001 and 2005 with 1,012 and 224 asthma patients aged 18-45 randomly selected from 42 and 56 primary health care centres, respectively. A classification of asthma control similar to the GINA guidelines was made using information obtained from the questionnaire.
RESULTS: In 2001, 36.6% had achieved asthma control, 23.8% were partly controlled and 39.6% uncontrolled. In 2005, the corresponding figures were 40.2%, 26.8% and 33.0%, respectively, with no difference between the two surveys (p=0.114). Uncontrolled asthma was more common in women (p<0.001 in the first and p<0.05 in the second survey) and smokers (p<0.01 in the first and p<0.01 in the second survey). The use of combination corticosteroid/long-acting bronchodilator inhalers had increased - 34.2% and 48.2%, respectively (p<0.001) - and many patients used their inhaled corticosteroids periodically.
CONCLUSION: In spite of treatment guidelines many patients in Swedish primary care still have insufficient asthma control.
上一篇：
影响儿童哮喘用药的因素：来自澳大利亚哮喘教育专家的观点
下一篇：
使用问卷调查分析年龄、性别及疾病严重程度对支气管哮喘患者吸入性糖皮质激素选择的影响
