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重度哮喘与生活质量。

Severe asthma and quality of life.

作者信息

Hossny Elham, Caraballo Luis, Casale Thomas, El-Gamal Yehia, Rosenwasser Lanny

机构信息

Pediatric Allergy and Immunology Unit, Children's Hospital Ain Shams University, 40A Baghdad Street, Cairo, 11341 Egypt.

Institute for Immunological Research, University of Cartagena, Cartagena, Colombia.

出版信息

World Allergy Organ J. 2017 Aug 21;10(1):28. doi: 10.1186/s40413-017-0159-y. eCollection 2017.

DOI:10.1186/s40413-017-0159-y
PMID:28855973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5563897/
Abstract

Severe asthma has a great impact on the quality of life (QOL) of patients and their families. The magnitude of this morbidity is affected by several personal factors including age. Appropriate asthma control and modifications of social roles and activities are expected to improve QOL. Biologics, primarily monoclonal antibodies, have been developed to target specific pathways and molecules important in the pathogenesis of asthma. The use of biologics has shown some promising effects on the QOL of patients with severe recalcitrant asthma. Other potential measures involve targeting risk factors and comorbidities and improving the levels of adherence to therapy. This article briefly reviews the impact of severe asthma on QOL and the potential methods to combat this morbidity including the available therapeutic biologics.

摘要

重度哮喘对患者及其家庭的生活质量(QOL)有很大影响。这种发病率的严重程度受包括年龄在内的多种个人因素影响。适当的哮喘控制以及社会角色和活动的调整有望改善生活质量。生物制剂,主要是单克隆抗体,已被开发用于靶向哮喘发病机制中重要的特定途径和分子。生物制剂的使用已显示出对重度顽固性哮喘患者的生活质量有一些有前景的效果。其他潜在措施包括针对危险因素和合并症以及提高治疗依从性水平。本文简要综述了重度哮喘对生活质量的影响以及对抗这种发病率的潜在方法,包括现有的治疗性生物制剂。

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本文引用的文献

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Efficacy of mepolizumab add-on therapy on health-related quality of life and markers of asthma control in severe eosinophilic asthma (MUSCA): a randomised, double-blind, placebo-controlled, parallel-group, multicentre, phase 3b trial.美泊利珠单抗附加疗法对严重嗜酸性粒细胞性哮喘(MUSCA)患者健康相关生活质量和哮喘控制标志物的疗效:一项随机、双盲、安慰剂对照、平行分组、多中心、3b 期临床试验。
Lancet Respir Med. 2017 May;5(5):390-400. doi: 10.1016/S2213-2600(17)30125-X. Epub 2017 Apr 5.
2
"Real-life" Effectiveness Studies of Omalizumab in Adult Patients with Severe Allergic Asthma: Meta-analysis.奥马珠单抗治疗成人重度过敏性哮喘的“真实世界”有效性研究:荟萃分析。
J Allergy Clin Immunol Pract. 2017 Sep-Oct;5(5):1362-1370.e2. doi: 10.1016/j.jaip.2017.02.002. Epub 2017 Mar 27.
3
Efficacy and safety of lebrikizumab in patients with uncontrolled asthma (LAVOLTA I and LAVOLTA II): replicate, phase 3, randomised, double-blind, placebo-controlled trials.Lebrikizumab 在未得到控制的哮喘患者中的疗效和安全性(LAVOLTA I 和 LAVOLTA II):复制,III 期,随机,双盲,安慰剂对照试验。
Lancet Respir Med. 2016 Oct;4(10):781-796. doi: 10.1016/S2213-2600(16)30265-X. Epub 2016 Sep 5.
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