Schröter C
Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital Lindwurmstrasse 4, D-80337 München.
MMW Fortschr Med. 2004 Dec 9;146(50):40-2, 44.
Over and beyond the avoidance of allergies, prophylactic measures can also prevent the development of lower airway disease from upper airway disease, for example, bronchial asthma from allergic rhinitis. A further protective effect can be achieved by reducing both prenatal and postnatal allergens. A major concept of prevention--not merely of pulmonary function changes and the development of allergies--is the avoidance of exposure to passive smoking. With regard to pharmacotherapeutic agents, both official approval for their use by the respective age group, and the dearth of study-based data need to be taken into account. To ensure the successful application of inhalative agents, the use of appropriate inhalation aids as also ensuring the correct inhalation technique are urgently recommended, particularly in the case of children and adolescents.
除了避免过敏外,预防措施还可以防止上呼吸道疾病发展为下呼吸道疾病,例如,过敏性鼻炎发展为支气管哮喘。通过减少产前和产后的过敏原,可以进一步实现保护作用。预防的一个主要概念——不仅仅是预防肺功能变化和过敏的发生——是避免接触二手烟。关于药物治疗剂,需要考虑其在相应年龄组使用的官方批准情况以及基于研究的数据的缺乏。为确保吸入剂的成功应用,强烈建议使用适当的吸入辅助工具并确保正确的吸入技术,尤其是在儿童和青少年中。