Self T, Nolan S
University of Tennessee, Memphis, College of Pharmacy 38163, USA.
Am J Manag Care. 1997 Sep;3(9):1425-38; quiz 1441-2.
Improved clinical outcomes in asthma patients have been demonstrated in several clinical trials that applied the National Institutes of Health (NIH) guidelines for the long-term management of asthma. Environmental control, objective monitoring, drug therapy, and partnership in patient education are the major components of optimal management. Inhaled antiinflammatory agents are of major importance for long-term control in patients with persistent asthma. Adequate patient education is absolutely essential for excellent, cost-effective care of patients with asthma. Improved outcomes in adults with asthma have been demonstrated at clinics initiated and managed by pharmacists. Further trials are needed with large numbers of patients in managed care organizations.
在几项应用美国国立卫生研究院（NIH）哮喘长期管理指南的临床试验中，已证明哮喘患者的临床结局得到改善。环境控制、客观监测、药物治疗以及患者教育中的合作是最佳管理的主要组成部分。吸入性抗炎药对持续性哮喘患者的长期控制至关重要。充分的患者教育对于为哮喘患者提供优质、具有成本效益的护理绝对至关重要。在由药剂师发起和管理的诊所中，已证明成年哮喘患者的结局有所改善。需要在管理式医疗组织中对大量患者进行进一步试验。
