Doboszynska A, Swietlik E
Department of Internal and Pulmonary Medicine, Miedzyleski Hospital, Warsaw, Poland.
J Physiol Pharmacol. 2008 Dec;59 Suppl 6:231-41.
The goal of this epidemiological study was to assess the symptoms, changes in spirometric parameters, and the type of therapy used in 3305 patients (55.5% women and 44.5% men; mean age 48.3 +/-15.9 years) in whom bronchial asthma was diagnosed by a family physician. The study was carried out with a questionnaire sent to both patients and their physicians. All patients were asked about the frequency and severity of asthma symptoms, smoking habits, and the source of the knowledge on their disease. Physicians gave information concerning the diagnosis and classification of asthma as well as its treatment. In all patients spirometric measurements were performed. The results of the survey indicate that the symptoms of asthma were seen relatively often in the examined cohort of patients, about 20% of them complained of everyday ailments. On the other hand, about 30% of the patients did not report any symptoms. Over 50% of the patients were exposed to tobacco smoke. Inhaled glucocorticosteroids were regularly used by 83% of the patients. We conclude that in the Polish population of asthmatic patients the management of symptoms still falls short of the internationally set guidelines.
这项流行病学研究的目的是评估3305例支气管哮喘患者（女性占55.5%，男性占44.5%；平均年龄48.3±15.9岁）的症状、肺功能参数变化以及所采用的治疗类型，这些患者由家庭医生诊断为支气管哮喘。该研究通过向患者及其医生发送问卷进行。所有患者均被问及哮喘症状的频率和严重程度、吸烟习惯以及其疾病知识来源。医生提供了有关哮喘诊断、分类及其治疗的信息。对所有患者均进行了肺功能测量。调查结果表明，在所检查的患者队列中，哮喘症状相对常见，约20%的患者抱怨有日常不适。另一方面，约30%的患者未报告任何症状。超过50%的患者接触过烟草烟雾。83%的患者定期使用吸入性糖皮质激素。我们得出结论，在波兰哮喘患者群体中，症状管理仍未达到国际设定的指南要求。
