Outpatient Management Of Patients With Bronchial Asthma And The Related Analysis

Objective: This study through setting up profiles for asthma patients managed the patients individually and identified and prevented the risk factors in patients with asthma,for future better asthma prevention and control.Methods: Choose between January 2015 and January 2016 in the second affiliated hospital of Hebei medical university respiratory outpatient clinics of 400 cases of patients with asthma.Patients were accord with standard of the diagnosis of bronchial asthma.The outpatient clinic profiles for asthma patients were set up by the respiratory doctors and assistants of the second affiliated hospital through face to face questionnaire survey form investigation.The profiles contents include: 1.Patients basic informations;2.Diagnosis of asthma and related symptoms;3.Merging other allergic diseases or not,etc.4.The asthma control test(ACT)scores.UsingSAS9.3 and SPSS19.0 software for statistical analysis.Results:1 There were 400 patients in the group,155 males,245 females,male to female ratio of 31/49,the majority of women in the study population;The average age was(42.13±13.66)years,average weight(65.48±11.43)kg;Among them junior middle school and under with low level of education accounted for 55%,people with senior high school education accounted for 28% and university 17%;people living in rural areas accounted for 59%,people living in city accounted for 37%,people living in suburbs accounted for 4%,mostly in rural areas.2 To statistics into the group of patients : Classic asthma accounted for 68.75%,proportion of cough variant asthma was 24.5%,Chest tightness asthma accounted for 6.75%.After a period of one year management,we followed up patients with telephone about the drug use situation.A total of 90 patients losing follow-up,310 cases(CA 66.8%,CVA 25.2%,CTVA 8%)were analyzed:comparing the relationship between different types of asthma and the time of using inhaled corticosteroid,we could say that cough variant asthma medication using time was shorter and that had no statistical significance compared with other teams.3 asthma combined with allergic rhinitis patients accounted for 38.5%;asthma combined with other allergic diseases including urticaria,eczema,drug allergy,food and pollen allergy accounted for 23%;asthma with a genetic history only 12.8%.4 Common factors of induced asthma symptoms followed by smoke,temperature changes,respiratory infections,dust,gas solubility chemicals,mood changes,animals,sports,pollen,drugs;The smoke as the causative factor in the majority,58%.5 The lung function index respectively as the dependent variable and other factors as independent variables,the fitting mixed effects models have the following results: for the first time to see a doctor,living in the suburbs,no merger of COPD patients with FEV1(estimated value %,FVC(expected value,the higher the FEV1/FVC %(P<0.05).6 PEF,PEF% of expected: the relationship between the number of follow-up is: in the first three follow-up with the increase in The Times of PEF measurements and PEF % of expected value is higher(P<0.05),but in the fourth follow-up rather decrease(P>0.05),in the follow-up again elevated(P< 0.05).7 Asthma control situation: clinic patients for the first time all completed the ACT score,the average score was(18.14+2.87)points,people getting 25 points accounts for 3.75%(15/400),and people getting 20 to 24 points accounts for 35%(140/400),20 points below 61.25%(245/400).Fitting mixed effects models have the following results: the relationship between the number of follow-up is: in the first three follow-up with the increase in The Times of ACT score is higher(P<0.05),but in the fourth follow-up ACT score significantly negative(P>0.05),in the follow-up ACT score again is higher(P<0.05).Conclusions:1 Exploring the identification method of asthma with different symptoms perception types and further understanding to the clinical factors of asthma patients are beneficial to the control of asthma.2 The asthma control test(ACT)scores and peak expiratory flow rate meter good are monitoring tools for monitoring the patient condition changes.3 Asthmatic attack could be controlled significantly through identification and prevention to the risk factors which might cause the onset of asthma acute attack.