Epidemiological analysis and management of bronchial asthma patients from outpatient clinic

Abstract

Objective To achieve long-term treatment of bronchial asthma (asthma), we set up individual files for asthma patients, and individualized management of patients. Methods In this study, 400 patients with asthma in the department of respiration at the second hospital of Hebei Medical University were selected from January 2015 to January 2016. The medical staff of the department of respiration, the second hospital of Hebei Medical University, were trained to fill in the personal archives of asthma. The files included the patient′s basic situation, asthma diagnosis and related symptoms, and asthma control test (ACT) scores. The pulmonary function and ACT score control of the patients were analyzed before and after the management. Results There were 400 patients in the group, including 155 males and 245 females. The ratio of male to female was 31/49, and the average age of the study group was (42.13±13.66) years old, with an average body weight of (65.48±11.43) kg. Peak expiratory flow(PEF) and PEF%pred: in the first 3 follow-up sessions, PEF and PEF%pred increased (t=2.29, 2.49, 2.29, P 0.05), but in the later follow-up increased again (t=2.54, P 0.05) in the fourth follow-up period, and the score of the ACT increased again after the follow-up. Conclusions The correct application of the ACT score and the PEF meter is a reliable monitoring tool for the change of the patient′s condition in asthma. Identification and management of common inducing factors of asthma attacks can reduce the number of asthma attacks. Key words: Bronchial asthma; Management; Inducing factor; Lung function; Asthma control test score