The Study Of Control, Treatment And Inducing Factors Of 2-16years Old Children With Asthma In Outpatient.

Objective To understand the control,treatment and influence factors of children with bronchial asthma(abbr.asthma) in the Affiliated Hospital of Ningxia Medical University of the Ningxia Hui Autonomous Region.Methods The study is achieved by means of collecting the face-to-face questio-nnaires among researchers,outpatient children of 2-16 years old and their guardians from January, 2013 to March, 2014.Results There are 149 asthmatic children in this case, including 109 male cases and 40 female cases. The sex ratio is 2.7:1, among them the preschool and school-age children respectively account for 31% and 45%. From the statistics of past 12 months, we find that 27 cases have been full controlled, 94 cases are in partial control and 28 cases with no control,among them 129 cases are routine follow-up visitors. Cough and wheeze are the main symptoms of asthma which respectively account for 94.63% and 71.14%; 73 cases(49%) have been attacked in the past three months and 52 cases(34.9%) happened in nearly one month,17 cases are complicated by nocturnal symptoms(11.4%) and 64 cases with allergic rhinitis. There are 132 cases(88.6%) suffering the ICS treatment and 55 cases(36.91%) have been treated with antibiotics; in the past one year, the emergency treatment rate and hospitalized treatment rate due to the acute asthmatic attack respectively accounted for 16.1% and 30.2%. About 2/3 of children take greater amount of exercise than before in the recent one year, which is even same to the same age children. From the logistic regression analysis of 27 factors which may influence the asthma control,we can draw a conclusion that there are 14 factors having an influencing on asthma control of children(p/0.05)such as age,height,medical insurance,allergic history and regular medications.Among them six factors are protective which include the height of children,increasing annual household income,enjoying medical insurance,taking allergen testing,the frequency of consultation and the regularity of drug use.The other factors are dangerous signals,such as the age of children,inmates with smoking habit,suffering a cold over ten days,the times of acute attack,amalgamative allergic rhinitis,other allergic history,relatives with allergic disease and the emergency times.Conclusion There still exists a certain disparity between the realistic effect and the ideal goal of the asthmatic treatment in our hospital. Proactively promoting the propaganda and education of asthma as well as necessity of the drug use in remission, strengthening the nursing,taking proper exercise,raising the clinic compliance of children,standardizing the medication,taking allergen testing initially,avoiding contacting with the allergen or allergy,conducting a treatment on children with allergic rhinitis and persuading their families to stop smoking are all conductive to improving the asthma control and keeping away from suffering the acute attack of asthma.