Abstract:

Early screening, standardized diagnosis and treatment as well as effective management are keys to improve the control level and quality of life in patients with bronchial asthma (BA) , a common chronic airway disease. Frequent acute attacks of BA are associated with decreased quality of life, increased medical costs, and increased economic burden of patients. The management level of BA has increased in urban areas, but is still low in rural areas in China. To improve the level of early screening and diagnosing BA in community healthcare settings, and to enhance primary physicians' capability of standardized diagnosis and management of BA, Shenzhen Group of Integrated Medical and Preventive Medicine Program for Respiratory Diseases developed an early screening program and an standardized management pathway for BA after a group discussion based on relevant BA guidelines and consensuses that are applicable to Shenzhen community healthcare settings.

Key words: Community health services, Asthma, Early screening, Management, Critical pathways

摘要：

支气管哮喘（简称哮喘）是一种常见的慢性气道疾病，哮喘的早期筛查、规范化诊治及有效的管理是提高哮喘控制水平和改善患者生活质量的关键。哮喘频繁急性发作导致患者生活质量下降、医疗花费增加、经济负担加重。目前我国城镇地区哮喘的诊疗水平虽较前有所提高，但基层哮喘患者的控制水平仍然很低。在国内外哮喘指南、共识的基础上，结合深圳社区健康服务机构特色，由深圳市医防融合呼吸项目组专家集体讨论制定，旨在提升社区健康服务机构对哮喘的早筛、早诊能力，并提高基层医师哮喘规范化诊治和管理水平。

关键词: 社区健康服务机构, 哮喘, 早筛, 管理, 临床路径