论文部分内容阅读
目的了解宁波市鄞州区农村哮喘防治情况。方法问卷调查鄞州区23家乡镇卫生院部分内科和儿科医生、急诊室护士、药房药剂人员及医院院长。查看药房药柜中所陈列的相关药品,并查阅当天哮喘处方。结果共调查成人内科医生86人,小儿内科医生51人,药剂人员34人,急诊室护士38人,院长20人。21.2%的医生认为哮喘需要分级治疗,56.2%的医生完全不知道《全球哮喘防治创议》,14.6%的医生不知道我国《哮喘防治指南》。82.6%的卫生院药房有吸入型抗哮喘药物,但应用较少。有4家卫生院采用吸入普米克令舒、β2激动剂溶液治疗哮喘急性发作,但都仅应用于儿科病人。全部卫生院对哮喘急性发作的治疗以静脉注射氨茶硷、糖皮质激素、抗生素为主。20名院长均支持规范化防治哮喘。结论该地区农村卫生院的哮喘防治不够规范,农村基层医生需进一步掌握哮喘相关知识。
Objective To understand the prevention and treatment of rural asthma in Yinzhou District of Ningbo City. Methods Questionnaire Investigation of 23 medical and pediatricians, emergency room nurses, pharmacy staff and hospital dean in 23 township hospitals in Yinzhou District. Check the medicines listed in the pharmacy’s medicine cabinet and consult the day’s asthma prescription. Results A total of 86 adult physicians, 51 pediatric physicians, 34 pharmacy staff, 38 emergency room nurses and 20 dean were investigated. 21.2% of physicians think that asthma need grading treatment, 56.2% doctors do not know “global asthma prevention and treatment initiative”, 14.6% of doctors do not know our country “asthma prevention and control guidelines.” 82.6% of the pharmacies in hospitals have inhaled anti-asthma drugs, but less used. There are four hospitals using inhaled Pulmicort respules, β2 agonist solution for acute asthma attacks, but only for pediatric patients. All hospitals for the treatment of acute asthma attacks intravenous aminophylline, glucocorticoid, antibiotics based. All 20 presidents support standardized prevention and treatment of asthma. Conclusion The prevention and treatment of asthma in rural hospitals in the area is not standardized, and rural grassroots doctors need further knowledge of asthma.