Questionnaire-based Analysis of the Current Status of Adult Bronchial Asthma in Niigata Prefecture : Comparison with the Asthma Guidelines

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概要

• 論文の詳細を見る

• Objective : Although inhaled steroids are strongly recommended in several guidelines for the management of bronchial asthma, the actual clinical situation requires clarification. This study presents the current status of adult bronchial asthma by questionnaire-based analysis, and suggests an improved method of assessment for asthma management compared with the guideline strategy. Methodology : Questionnaires were completed by asthmatic patients and their physicians in participating institutions within Niigata Prefecture from September to October 1998. The 3,347 responses were then analyzed. Results : The rate of peak-flow meter per user was only 30.8%. Attacks that were more than moderate were found in less than 10% of subjects, while asthma related symptoms--including coughing--were found in more than 50% of subjects. Emergent events were often existed (unconsciousness attacks; 6.8%, respirator management; 5.9%, aspirin induced attacks; 8.6%, respectively). Although inhaled steroid use reached 62.0%, sustained-release theophylline was used by 76.9% of subjects. Conclusion : Despite satisfactory results in asthma attack control, there is still room for improvement of the peak-flow meter and inhaled steroid use, as well as for alleviating asthma-related symptoms and preventing death related risk factors. Sustained-release theophylline was positioned as a fundamental medication and requires reevaluation as a long-term controller the same as inhaled steroids.

• 新潟大学の論文

著者

• Hasegawa Go

  Department Of General Medicine Niigata University Medical And Dental Hospital

• KOYA Toshiyuki

  Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences

• Hasegawa Takashi

  新潟大学 医歯学総合研究科呼吸器内科分野

• Arakawa M

  Division Of Respiratory Medicine Niigata University Graduate School Of Medical And Dental Sciences

• HASEGAWA Takashi

  Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences

• KONDAOH Ariyoshi

  Niigata Asthma Treatment Study Group

• SUZUKI Eiichi

  Division of Respiratory Medicine, Niigata University Graduate School of Medical

• Suzuki E

  Nanoelectronics Research Institute National Institute Of Advanced Industrial Science And Technology

• Arakawa Masaaki

  新潟大学 医歯学総合研究科呼吸器内科

• Gejyo Fumitake

  Department Of Medicine Iigata University School Of Medicine

• Mashima Ichiro

  Division Of Internal Medicine Ii Faculty Of Medicine Niigata University Graduate School Of Medical A

• Koya Toshiyuki

  Division Of Respiratory Medicine Department Of Homeostatic Regulation And Development Course In Biol

• Muramatsu Y

  Division Of Nursing School Of Health Sciences Niigata University Graduate School Of Medical And Dent

• Koya Toshiyuki

  新潟大学 医歯学総合研究科生体機能調節医学専攻呼吸器内科学

• Hasegawa Takashi

  Division Of Environmental Science And Technology Graduate School Of Kyoto University

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