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目的了解临床医生对儿童哮喘防治的情况。方法首都儿科研究所哮喘中心于2002～2003年,对参加全国儿童哮喘学术会议和山西、广东、福建等地哮喘学术报告会的临床儿科医生,于哮喘会议前或者学术报告会前统一发放哮喘防治推广情况问卷调查表,当时填写完即刻收卷,共收回有效问卷290份(人)。结果253人(87.2%)听说过全球哮喘防治创议(GINA),178人(61.4%)已经执行该方案;272人(93.8%)能够正确认识到哮喘的主要病理基础;峰流速仪的使用率为63.1%(183/290);208人(71.7%)认为中度以上持续哮喘最重要的治疗是联合吸入激素,医生选择联合吸入激素治疗的比例为93.4%(271/290);174人(60%)选择应用局部激素治疗变应性鼻炎。结论各级临床医师对哮喘基础知识、临床用药、GINA方案的应用、峰流速仪及气雾剂的掌握情况均较6年前有明显改善。今后哮喘防治工作应该继续推广GINA,将该方案从大、中城市扩大到小城市、乡村卫生机构等医疗单位。

Survey of the situation of asthma prevention and therapy in children

Objective To investigate the situation of asthma prevention and therapy mastered by mostly pediatricians and physicians of respiratory diseases.Methods Questionnaires were handed out to clinical professionals at different levels and returned immediately after being answered before asthma meetings or seminars.Results 87.2% of them have known about GINA,and 61.4% have implemented it.93.8% of the doctors knew the main pathologic basis of asthma.63.1% of them used peak expiratory flow meter in their clinical practice.71.7% of them selected glucocorticosteriod inhalation was the most important therapeutic measure in managing asthma patients with moderate and severe persistent symptoms.93.4% of the doctors selected inhalation glucocorticosteriod.Intranasal glucocorticosteriod was accepted by 60% of the doctors in the treatment of allergic rhinitis.Conclusion The basic knowledge about asthma,selection of medication,implementation of GINA and the use of peak expiratory flow meter have been greatly improved than those of 6 years ago.GINA should be disseminated from big cities to counties and communities.