Zach M
Universitäts-Kinderklinik Graz.
Padiatr Padol. 1990;25(4):259-71.
Asthma stems from chronic inflammatory changes in the bronchial mucosa: its long-term treatment is mainly based on the antiinflammatory action of the employed substances. Topical (aerosol) treatment is considered as the most effective route of medication; availability of new substances and new aerosols in Austria requires a revision of previously established treatment strategies. Such revised strategies are presented for schoolchildren, babies and toddlers respectively; they follow the same principles, but differ in respect to the preferred method of topical medication. In addition, coexistent allergy has to be evaluated and treated on an individualized basis; occasionally, so-called "tertiary strategies" of asthma treatment are employed as well.
其长期治疗主要基于所用药物的抗炎作用。局部(气雾剂)治疗被认为是最有效的给药途径;奥地利新药物和新气雾剂的出现需要对先前制定的治疗策略进行修订。分别针对学龄儿童、婴儿和幼儿提出了此类修订策略;它们遵循相同的原则,但在局部用药的首选方法上有所不同。此外,必须对并存的过敏情况进行个体化评估和治疗;偶尔也会采用所谓的哮喘治疗“三级策略”。