ID 110680
著者
楊河, 宏章 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
シラガ, ミノル Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
ナカムラ, ヨウイチ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
吾妻, 雅彦 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ヨネダ, カズオ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
小川, 博久 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キタムラ, チカト Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
前田, 健一 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ミキ, マリ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
マツモリ, ユカ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
スギタ, アケミ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
ハシモト, サキコ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
ハラ, チエ Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine
谷, 憲治 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
曽根, 三郎 Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
bronchial asthma
inhaled corticosteroids
hospitalization
anti-leukotrienes
資料タイプ
学術雑誌論文
抄録
With the recognition that airway inflammation is present even in patients with mild bronchial asthma, therapy with inhaled corticosteroids is now indicated in various stages of patients. In the present article, we retrospectively examined the prescriptions for inhaled corticosteroids and other drugs for the treatment of outpatients with bronchial asthma at Tokushima University Hospital. We also analyzed asthma control in these patients, in terms of the incidence of emergency consultations and hospitalizations due to asthma exacerbations. To analyze the recent trend, the patients observed from 1998 to 2000 (recent years) were included, and for control purpose, those in 1990 and 1991 (earlier years) were also included.
The percentage of patients treated with inhaled corticosteroids remarkably increased in recent years (mean 81.3%) compared to earlier years (mean 23.5%). In contrast, the usage of oral corticosteroids, oral xanthine derivatives, β2-adrenergic receptor agonists and anti-allergic agents tended to decrease in the 10 years period. After the introduction in 1995, considerable patients up to 25% have been treated with anti-leukotrienes. Emergency consultations decreased in recent years (mean 0.18/patient/year) compared to earlier years (mean 0.79/patient/year). Emergency hospitalizations also decreased in recent years (mean 0.043/patient/year) compared to earlier years (mean 0.23/patient/year).In the present study, spread of inhaled corticosteroid therapy and decline in incidence of emergency consultation and hospitalization were simultaneously observed at Tokushima University Hospital, and the former has, at least in part, a contribution to the latter.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
50
1-2
開始ページ
72
終了ページ
77
並び順
72
発行日
2003
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院
医学系
保健管理・総合相談センター