Stoloff Stuart W
Department of Family and Community Medicine, University of Nevada-Reno, CarsonCity, NV 89703, USA.
J Fam Pract. 2008 Sep;57(9):594-602.
*Assess asthma severity before initiating treatment; monitor asthma control to guide adjustments in therapy using measures of impairment and risk (National Heart, Lung, and Blood Institute [NHLBI] and National Asthma Education and Prevention Program [NAEPP] third expert panel report [EPR-3]). *Base treatment decisions on recommendations specific to each age group (0-4 years, 5-11 years, and >or=12 years). *Use spirometry in patients >or=5 years of age to diagnose asthma, classify severity, and assess control. *Provide each patient with a written asthma action plan with instructions for daily disease management, as well as identification of, and response to, worsening symptoms.
在开始治疗前评估哮喘严重程度;使用损伤和风险指标监测哮喘控制情况,以指导调整治疗方案(美国国立心肺血液研究所[NHLBI]和国家哮喘教育与预防计划[NAEPP]第三次专家小组报告[EPR-3])。根据各年龄组(0至4岁、5至11岁以及≥12岁)的特定建议做出治疗决策。对≥5岁的患者使用肺功能测定来诊断哮喘、分级严重程度并评估控制情况。为每位患者提供一份书面哮喘行动计划,其中包括日常疾病管理说明以及对症状加重的识别和应对方法。