哮喘联盟

   摘要
   背景：重症哮喘急性发作的住院患者的特征尚不明确。重症哮喘住院患者的特征差异被认为取决于年龄。但这一观点很少被人研究。该研究的目的是为了评估不同年龄组患者特征的差异。我们认为理解每一年龄组的特征是有必要的，这将有助建立预防重症哮喘急性发作的策略。
   方法：2004年～2011年期间，所有SpO2 <90%(室内)，休息时呼吸困难，呼吸频率、脉率增加的哮喘住院患者接受检查。比较青年组、中年组和老年组特征的差异。
   结果：研究总人数为204例。青年组中，医疗机构访问不规律和不访问的比率高，且吸烟和养宠物的比例高，持续的ICS使用的比率为25.9%。中年组中，不能耐受阿司匹林的患者比率高，持续的ICS使用比率为60.2%。老年组中，伴高血压/心脏病，糖尿病和COPD的比率高，该组有良好的治疗依从性，持续的ICS使用比率为77.4%。
   结论：重症哮喘住院患者的特征差别因年龄而异。需要根据患者年龄特征建立哮喘急性发作的策略。
 

（苏楠 审校）
Allergol Int. 2013 Sep;62(3):331-6. doi: 10.2332/allergolint.12-OA-0525. Epub 2013 Jun 25.

 

Age-specific characteri stics of inpatients with severe asthma exacerbation.
 

Sekiya K, Taniguchi M, Fukutomi Y, Watai K, Minami T, Hayashi H, Ito J, Tanimoto H, Oshikata C, Tsurikisawa N, Tsuburai T, Hasegawa M, Akiyama K.
 

ABSTRACT
BACKGROUND: The characteristics of inpatients with severe asthma exacerbation remain unclear. It is considered that the characteristics of inpatients with severe asthma vary depending on age. However, these are rarely investigated. The objective of this study is to investigate the differences in characteristics among different age groups. We considered that it is necessary to understand the characteristics of each age group so that we can establish strategies in preventing severe asthma exacerbation.
METHODS: All asthma inpatients who were hospitalized between 2004 and 2011 with SpO2 <90% (in room air), were breathless at rest, and showed increased respiratory rate and pulse rate were examined. We compared the characteristics among the young age group, middle age group, and advanced age group.
RESULTS: The total number of patients was 204. In the young age group, the percentages of patients with irregular visits and non visits to a medical institution were high. This group showed high percentages of smokers and pet owners. The percentage of continuous ICS users in this group was 25.9%. The middle age group had high rates of aspirin-intolerant asthma. The percentage of continuous ICS users in this group was 60.2%. In the advanced age group, the percentages of patients with hypertension/heart disease, diabetes mellitus, and COPD were high. This group showed good treatment adherence. The percentage of continuous ICS users in this group was 77.4%.
CONCLUSIONS: The characteristics of inpatients with severe asthma vary depending on age. We need to establish countermeasures for asthma exacerbation according to the characteristics of patients depending on age.
 

Allergol Int. 2013 Sep;62(3):331-6. doi: 10.2332/allergolint.12-OA-0525. Epub 2013 Jun 25.