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[哮喘会诊随访]

[Asthma followup in consultation].

作者信息

Pison C, Devouassoux G, Pin I

机构信息

Département de médecine aiguë spécialisée, CHU de Grenoble Université Joseph-Fourier 38043 Grenoble.

出版信息

Rev Prat. 2001 Mar 15;51(5):493-501.

Abstract

Development and application of guidelines for asthma management and prevention should prevent exacerbation, avoid hospitalisations, maintain an optimal lung function, and guarantee a good quality of life in asthmatic patients. Unfortunately, there is a gap between these objectives and the patient's perspectives because of difficulties to organise and deliver care with the issues of the health professional formation, patient education and compliance to chronic treatments. The objectives of the follow-up visit for asthmatic patients are three fold: check for the control of asthma, review and optimise medical treatment, and control asthma management skills. Self-monitoring based of symptoms and/or peak expiratory flow recordings coupled with a written action plan and regular medication review has been shown to significantly reduce exacerbation rate and allows a control of the disease.

摘要

哮喘管理与预防指南的制定和应用应预防病情加重、避免住院、维持最佳肺功能,并确保哮喘患者的良好生活质量。遗憾的是,由于在卫生专业人员培训、患者教育以及慢性治疗依从性等问题上难以组织和提供护理,这些目标与患者的观点之间存在差距。哮喘患者随访的目标有三个方面:检查哮喘控制情况、审查并优化药物治疗以及掌握哮喘管理技能。基于症状和/或呼气峰值流速记录的自我监测,再加上书面行动计划和定期药物审查,已被证明可显著降低病情加重率并实现疾病的控制。

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