Bronkhial'naya Astma V Sochetanii S Allergicheskim Rinitom

V poslednie gody zabolevaemost' bronkhial'noy astmoy i allergicheskim rinitom vyrosla v desyatki raz. Do nastoyashchego vremeni ostayutsya malo izuchennymi faktory, privodyashchie k rostu dannoy sochetannoy patologii, a takzhe vliyayushchie na kachestvo zhizni i uroven' kontrolya nad zabolevaniem. Kompleksnoe obsledovanie bylo provedeno 138 bol'nym bronkhial'noy astmoy. Iz nikh 105 chelovek sostavili patsienty s astmoy v sochetanii s allergicheskim rinitom. Dlya opredeleniya urovnya kontrolya nad zabolevaniem ispol'zovalsya test kontrolya astmy "Astma Control Test". Kachestvo zhizni patsientov otsenivalos' pri pomoshchi voprosnika "SGRQ - voprosnik Gospitalya Svyatogo Georgiya". U bol'shinstva nablyudaemykh patsientov (65,7%)otmecheno nekontroliruemoe techenie bronkhial'noy astmy. Sredi faktorov, sushchestvenno vliyayushchikh na uroven' kontrolya, vydeleny: vozrast patsienta, uroven' obrazovaniya, nalichie soputstvuyushchey patologii, tyazhest' osnovnogo zabolevaniya i sochetayushchegosya s nim allergicheskogo rinita. Vyyavleny sushchestvennye razlichiya v podkhodakh k vyboru terapii v zavisimosti ot stepeni tyazhesti i urovnya kontrolya bronkhial'noy astmy.