University of Manitoba, Winnipeg, Manitoba.
Allergy Asthma Clin Immunol. 2006 Mar 15;2(1):24-38. doi: 10.1186/1710-1492-2-1-24.
Guidelines for the diagnosis and management of asthma have been published over the last 15 years; however, there has been little focus on issues relating to asthma in childhood. Since the last revision of the 1999 Canadian Asthma Consensus Report, important new studies, particularly in children, have highlighted the need to incorporate new information into the asthma guidelines. The objectives of this article are to review the literature on asthma published between January 2000 and June 2003 and to evaluate the influence of new evidence on the recommendations made in the 1999 Canadian Asthma Consensus Report and its 2001 update, with a major focus on pediatric issues.
The diagnosis of asthma in young children and prevention strategies, pharmacotherapy, inhalation devices, immunotherapy, and asthma education were selected for review by small expert resource groups. The reviews were discussed in June 2003 at a meeting under the auspices of the Canadian Network For Asthma Care and the Canadian Thoracic Society. Data published through December 2004 were subsequently reviewed by the individual expert resource groups.
This report evaluates early-life prevention strategies and focuses on treatment of asthma in children, emphasizing the importance of early diagnosis and preventive therapy, the benefits of additional therapy, and the essential role of asthma education.
We generally support previous recommendations and focus on new issues, particularly those relevant to children and their families. This document is a guide for asthma management based on the best available published data and the opinion of health care professionals, including asthma experts and educators.
在过去的 15 年中，已经发布了有关哮喘诊断和管理的指南；但是，对于儿童哮喘相关问题的关注甚少。自 1999 年加拿大哮喘共识报告修订以来，特别是在儿童方面，重要的新研究强调需要将新信息纳入哮喘指南中。本文的目的是回顾 2000 年 1 月至 2003 年 6 月期间发表的有关哮喘的文献，并评估新证据对 1999 年加拿大哮喘共识报告及其 2001 年更新的建议的影响，重点是儿科问题。
由小型专家资源小组选择对幼儿哮喘的诊断和预防策略、药物治疗、吸入装置、免疫疗法和哮喘教育进行审查。2003 年 6 月，在加拿大哮喘护理网络和加拿大胸科协会的主持下，对这些综述进行了讨论。随后，各个专家资源小组对截至 2004 年 12 月发表的数据进行了审查。
本报告评估了生命早期的预防策略，并着重于儿童哮喘的治疗，强调了早期诊断和预防性治疗、额外治疗的益处以及哮喘教育的重要性。
我们普遍支持以前的建议，并关注新问题，特别是与儿童及其家庭有关的问题。本文档是根据现有最佳发表数据和医疗保健专业人员（包括哮喘专家和教育者）的意见制定的哮喘管理指南。
