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[哮喘的表型分析有助于改善差异化治疗吗?]

[Does phenotyping asthma help to improve differential treatment?].

作者信息

Taube C, Buhl R

机构信息

III. Medizinische Klinik, Schwerpunkt Pneumologie, Universitätsmedizin, Mainz.

出版信息

Dtsch Med Wochenschr. 2010 Mar;135(10):468-73. doi: 10.1055/s-0030-1249191. Epub 2010 Mar 2.

Abstract

Asthma is a syndrome characterized by airway inflammation, airway hyperresponsiveness (AHR) and airway obstruction. The diagnosis asthma comprises a very heterogeneous patient population. In recent years different strategies have been developed to classify the patients into different phenotypes. The phenotypes can be based on clinical findings, etiology and triggers or be defined by the type of airway inflammation. These classifications are still very crude and confusing and often a clear-cut differentiation between different described phenotypes is not possible. Still some phenotypes depend on different pathophysiological mechanisms and can differ profoundly in their clinical course. Also for some of these phenotypes specifical treatpeuthic options are available. Therefore a good definition and classification of asthma phenotypes is important in regard of diagnosis, prognosis and therapy of these patients.

摘要

哮喘是一种以气道炎症、气道高反应性(AHR)和气道阻塞为特征的综合征。哮喘的诊断涵盖了非常异质性的患者群体。近年来,已制定了不同的策略将患者分为不同的表型。这些表型可以基于临床发现、病因和触发因素,或者由气道炎症的类型来定义。这些分类仍然非常粗略且令人困惑,通常无法对不同描述的表型进行明确区分。然而,一些表型取决于不同的病理生理机制,其临床病程可能有很大差异。而且对于其中一些表型,也有特定的治疗选择。因此,哮喘表型的良好定义和分类对于这些患者的诊断、预后和治疗至关重要。

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