Hlinka V, Labus J
Odborný liecebný ústav respiracných chorôb, Nový Smokovec.
Vnitr Lek. 1992 Aug;38(8):802-7.
The authors explain the principle of effectiveness as regards treatment of bronchial asthma (AB) in the climate of the Tatra mountains. The most important place is held by elimination of noxious substances from the patient's environment which is comparable with the eliminations test. The second place is held by factors of a medium stimulating climate which calls for adaptation of the organism. This happens during the three-week acclimatization stage which acts as non-specific therapy. The result of climatotherapy is an increased immunological resistance, hardening, reduced bronchial hyperreactivity and improved life of asthmatic patients. Supplementary treatment comprises respiratory rehabilitation and psychotherapy. The aim of rehabilitation is active participation of the patient in treatment, adequate type of respiration and better tolerance of physical strain. The purpose of psychotherapy is to help the patient to overcome fear of AB, induce a change of lifestyle and regime. After comprehensive institutional treatment the patients are prepared for self-supporting ambulatory treatment. Under institutional conditions antiasthmatic treatment can be discontinued in as many as 24% of asthmatic patients and reduce substantially the administration of inhalatory beta-adrenergic substances, as demonstrated by the authors on 1725 asthmatic patients.
作者阐述了在塔特拉山气候条件下治疗支气管哮喘（AB）的有效性原则。最重要的是从患者环境中清除有害物质，这与清除试验类似。其次是中等刺激气候因素，这需要机体适应。这发生在为期三周的适应阶段，该阶段起到非特异性治疗的作用。气候疗法的结果是免疫抵抗力增强、身体强健、支气管高反应性降低以及哮喘患者生活质量改善。辅助治疗包括呼吸康复和心理治疗。康复的目的是让患者积极参与治疗、采用适当的呼吸方式并更好地耐受身体疲劳。心理治疗的目的是帮助患者克服对AB的恐惧、促使生活方式和作息规律发生改变。经过全面的机构治疗后，患者为自主门诊治疗做好准备。在机构治疗条件下，多达24%的哮喘患者可以停止抗哮喘治疗，并且如作者对1725例哮喘患者所证明的那样，可大幅减少吸入性β-肾上腺素能物质的使用。
