Robinson Paul D, Van Asperen Peter
Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, Sydney, Australia.
Pediatr Clin North Am. 2009 Feb;56(1):191-226, xii. doi: 10.1016/j.pcl.2008.10.008.
Management decisions for pediatric asthma (in patients younger than 12 years of age) based on extrapolation from available evidence in adolescents and adults (age 12 years and older) is common but rarely appropriate. This article addresses the disparity in response between the two age groups, presents the available pediatric evidence, and highlights the important areas in which further research is required. Evidence-based recommendations for acute and interval management of pediatric asthma are provided.
基于青少年(12岁及以上)现有证据推断而做出的小儿哮喘(12岁以下患者)管理决策很常见,但很少是恰当的。本文阐述了两个年龄组之间反应的差异,呈现了现有的儿科证据,并强调了需要进一步研究的重要领域。还提供了小儿哮喘急性和间歇期管理的循证建议。