Division of Allergy-Immunology and Pediatric Rheumatology, Department of Pediatrics, Medical College of Georgia at Augusta University, 1120 15th Street, Augusta, GA, 30912, USA.
Curr Allergy Asthma Rep. 2016 Jul;16(7):50. doi: 10.1007/s11882-016-0629-2.
The ability to perceive the onset and severity of symptoms of worsening asthma is important, not only for initial diagnosis but also for early identification of an asthma exacerbation and prompt management. There are subjective and objective methods for identifying symptoms. Symptom perception is affected by multiple mechanisms, and not all patients can accurately perceive symptoms of airflow limitation. Hyperperceivers will report substantial discomfort in the face of minimal bronchoconstriction, and poor perceivers will report no symptoms even in the presence of severe obstruction. The use of objective measures of airflow limitation is essential for such patients. Regimens for training perception in children and adults have been studied and are available.
能够感知哮喘恶化的发作和严重程度很重要，不仅对初始诊断很重要，而且对早期识别哮喘加重并及时进行管理也很重要。有主观和客观的方法可以识别症状。症状感知受多种机制的影响，并非所有患者都能准确感知气流受限的症状。高敏感者在面对轻微的支气管收缩时会感到非常不适，而低敏感者即使存在严重阻塞也不会报告任何症状。对于这些患者，使用客观的气流受限测量方法是必不可少的。已经研究并提供了用于训练儿童和成人感知能力的方案。
