http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
모든 병의 타깃, 만성질환 - 이제 기관지천식으로 고생하지 말자!
최병휘,Choe, Byeong-Hwi 한국건강관리협회 2010 건강소식 Vol.34 No.5
살랑살랑 불어오는 바람마저 아름다운 이 봄이 불쾌한 이들이 있다. 바로 알레르기 질환을 앓고 있는 환자들이다. 가장 흔한 알레르기 질환에는 꽃가루병, 즉 알레르기 비염이 있으며, 이보다 흔하지는 않지만 증상이 심해 알레르기 비염보다 주목받는 기관지천식도 있다. 대표적인 만성질환 중 하나인 기관지천식에 대해서 알아본다.
Easy Diagnosis of Asthma: Computer-Assisted, Symptom-BasedDiagnosis
최병휘,유광하,Jae-Won Jeong,Ho Joo Yoon,김상헌,Yong-Mean Park,Wo-Kyung Kim,Jae-Won Oh,Yeong-Ho Rha,Bok-Yang Pyun,Suk-Il Chang,문희범,김유영,Sang-Heon Cho 대한의학회 2007 Journal of Korean medical science Vol.22 No.5
Diagnosis of asthma is often challenging in primary-care physicians due to lack of tools measuring airway obstruction and variability. Symptom-based diagnosis of asthma utilizing objective diagnostic parameters and appropriate software would be useful in clinical practice. A total of 302 adult patients with respiratory symptoms responded to a questionnaire regarding asthma symptoms and provoking factors. Questions were asked and recorded by physicians into a computer program. A definite diagnosis of asthma was made based on a positive response to methacholine bronchial provocation or bronchodilator response (BDR) testing. Multivariate logistic regression analysis was used to evaluate the significance of questionnaire responses in terms of discriminating asthmatics. Asthmatic patients showed higher total symptom scores than non-asthmatics (mean 5.93 vs. 4.93; p<0.01). Multivariate logistic regression analysis identified that response to questions concerning the following significantly discriminated asthmatics; wheezing with dyspnea, which is aggravated at night, and by exercise, cold air, and upper respiratory infection. Moreover, the presence of these symptoms was found to agree significantly with definite diagnosis of asthma (by kappa statistics). Receiver-operating characteristic curve analysis revealed that the diagnostic accuracy of symptom-based diagnosis was high with an area under the curve of 0.647±0.033. Using a computer- assisted symptom-based diagnosis program, it is possible to increase the accuracy of diagnosing asthma in general practice, when the facilities required to evaluate airway hyperresponsiveness or BDR are unavailable.