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[目的 ] 观察支气管哮喘患者经社区管理后医疗费用和病情严重度变化情况。 [方法 ] 推行《全球哮喘防治战略创议》实行哮喘病社区管理并进行回顾性分析。患者分为正规防治组和非正规防治组 ,比较随访一年前后医疗费用和其他经济损失及哮喘临床症状变化情况。 [结果 ] 哮喘病社区管理后患者医疗费用明显下降 ,正规防治组的医疗费用显著低于非正规防治组 (P <0 .0 1) ,症状明显好转率显著高于非正规防治组 (P <0 .0 1)。 [结论 ] 支气管哮喘患者经管理和规范防治 ,可减少医疗费用支出 ,改善临床症状 ,提高患者生活质量
[Objective] To observe the changes of medical costs and severity of patients with bronchial asthma after community management. [Methods] The “Global Strategy for Prevention and Treatment of Asthma” was implemented to implement community-based management of asthma and retrospectively analyzed. The patients were divided into regular prevention group and non-formal prevention group. The medical costs and other economic losses and clinical symptoms of asthma were compared one year after follow-up. [Results] The medical cost of patients in asthma community decreased obviously, the medical cost of regular prevention group was significantly lower than that of informal prevention group (P0.01), and the obvious improvement rate of symptoms was significantly higher than that of informal prevention group (P < 0 .0 1). [Conclusion] The management of bronchial asthma and standardized prevention and treatment can reduce medical expenses, improve clinical symptoms and improve the quality of life of patients