背景:过敏性哮喘具有不同的特征,取决于发生的区域。管理通常是有组织的,而无法轻松获得专门的肺炎变态反应学评估。
目的:主要:探讨在南希大学医院随访的过敏性哮喘患者的特点。
UNASSIGNED:估计拟议的专门管理的12个月的影响。
方法:回顾性研究包括2016年1月1日至2018年12月31日进行的过敏性哮喘成人。研究的参数(除了描述性参数):纳入时和一年时的哮喘控制评分ACQ-7(哮喘控制问卷)和肺功能。
结果:纳入115例患者(年龄42±16岁,女性63%,不吸烟者70%)。即使哮喘症状出现在19±18岁,21±17.5年后进行了专门咨询。频繁的致敏涉及屋尘螨(49%),猫皮屑(43%),草(43%)。患者倾向于低估其过敏的频率(螨虫36%P=0.011,花粉36%P=0.001,宠物皮屑42%P=0.003,霉菌80%P=0.007)。在1年的随访中,ACQ-7评分均为(1.3±1.3vs.0.8±0.9;P=0.007)和每秒用力呼气量(81.3±20.8%vs.86.2±21.9%;P=0.002)有所改善。
结论:在南希随访的过敏性哮喘患者的特异性:哮喘发作年龄晚,哮喘和专门咨询;对猫皮屑和桦木科花粉的主要敏感性;患者对过敏的低估。专业护理在过敏性哮喘的管理中似乎很重要。虽然获得专门护理仍然存在问题,它可以通过创建专用网络来促进。
BACKGROUND: Allergic asthma has variable characteristics depending on the region of occurrence. Management is often organized without easy access to a specialized pneumo-allergological evaluation.
OBJECTIVE: PRIMARY: To characterize allergic asthma in patients followed at the Nancy University Hospital.
UNASSIGNED: To estimate the impact at 12 months of the proposed specialized management.
METHODS: Retrospective study including allergic asthmatic adults conducted between 01/01/2016 and 31/12/2018. Parameters studied (aside from descriptive parameters): asthma control score ACQ-7 (Asthma Control Questionnaire) and lung function at inclusion and at one year.
RESULTS: One hundred and fifteen patients were included (age 42±16 years, women 63%, non-smokers 70%). Even though asthma symptoms arose at 19±18 years, the specialized consultation was performed 21±17.5 years later. Frequent sensitizations involved house dust mites (49%), cat dander (43%), grasses (43%). Patients tended to underestimate the frequency of their allergies (mites 36% P=0.011, pollens 36% P=0.001, pet dander 42% P=0.003, molds 80% P=0.007). At 1-year follow-up both the ACQ-7 score (1.3±1.3 vs. 0.8±0.9; P=0.007) and the forced expiratory volume per second (81.3±20.8% vs. 86.2±21.9%; P=0.002) had improved.
CONCLUSIONS: The specificities of allergic asthmatics followed up in Nancy: late age of asthma onset of asthma and specialized consultation; predominant sensitization to cat dander and Betulaceae pollens; underestimation of allergies by the patient. Specialized care seems to important in the management of allergic asthma. While access to specialized care remains problematic, it could be facilitated by the creation of dedicated networks.