The results of 4-years work of Kemerovo city Pulmonology Center and ambulance station of monitoring patients with severe bronchial obstruction

Purpose: to identify the reasons for the low disease control in patients with severe bronchial obstruction, often calling ambulance, and to evaluate the effectiveness of treatment optimization measures. The study includes 75 patients with severe bronchial obstruction, calling ambulance because of the suffocation once a month or more often, 33 of whom are men (44%) and 42 women (56%), the medium age of whom is 63,5+1,4 years old. Bronchial permeability was measured by speed factors with the help of computer spirometry. To assess the level of control over the bronchial asthma there was used asthma control test - ACT. Among the patients, often calling the ambulance, the proportion of patients with excess or deficit body weight is significantly higher than in the population. Proportion of male smokers is 3,3 times lower, and of women it is 2,0 times lower than in the population. 72,3% of men with severe bronchial obstruction gave up smoking themselves. The intensity of smoking was higher among patients with chronic obstruction lung disease. The most common risk factors among the subjects were allergy, frequent colds and ENT pathology. There is a great influence on the frequency of ambulance calls because of the suffocation of the factors such as frequent colds, the need for short-range bronchodilators mare than 6 times a day, the total score on the ACT