Tạp chí Y học Thành phố Hồ Chí Minh, 9(4):235. DOI
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Nguyễn Đình Hải, Nguyễn Hoài Nam, Lương Thị Bích Thủy và các BS khoa khám
A prospective study was carried out to evaluate the
severity of asthma by classification and to evaluate the GINA- based
treatment. 102 asthma patients older than 1 year of age were classified
in 4 steps of severity (GINA): step 1 (32 patients), step 2 (49
patients), step 3 (16 patients) and step 4 (5 patients). Most of asthma
patients of steps 1 (31.4%) and of step 2 (48%) had slightly asthmatic
symptoms and mildly affected lung function: PEF > 80% (23.3%),
moderately decreased PEF = 80% - 60% (57.5%). Lost school day or work of
1175 days. 32% of asthma patients had no specific treatment because of
lack of acknowledge; 48% of cases received an inappropriate treatment
due to misdiagnosis and underestimation. 33.3% of patients used oral
long acting 2 agonist (LABA) combined with inhaled corticosteroid
(ICS); 25.4% of patients received inhaled LABA combined with ICS in our
study; 66.6% of patients had lung function improved on 4th week of
treatment.
Conclusion: asthma is a serious public health problem. An
early diagnosis, an appropriate treatment, a better education will
significantly reduce the socioeconomic burden and improve the patients'
quality of life.
