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《中国过敏性哮喘诊断和治疗指南(2019年,第一版)》

[Chinese guidelines for the diagnosis and treatment of allergic asthma (2019, the first edition)].

出版信息

Zhonghua Nei Ke Za Zhi. 2019 Sep 1;58(9):636-655. doi: 10.3760/cma.j.issn.0578-1426.2019.09.004.

Abstract

Allergic asthma is an important phenotype of asthma, accounting for sixty to eighty percent of the whole asthma population. This guideline was divided into 15 chapters, which provided a detailed introduction to epidemiology, pathogenesis, common allergens, clinical manifestation and the principles of diagnosis, treatment and prevention of allergic asthma, and highlighted the similarities and differences of allergic and non-allergic asthma. According to the principles of international and national asthma guidelines, this guideline placed special emphasis on allergen specific immunotherapy, anti-IgE therapy, anti-allergy therapy, management of allergic comorbidities and tertiary prevention. Based on the evidence-based medicine and clinical practice in China, the guideline made recommendations to guide the diagnosis, treatment and management of allergic asthma in China.

摘要

过敏性哮喘是哮喘的一种重要表型,占整个哮喘人群的60%至80%。本指南共分为15章,详细介绍了过敏性哮喘的流行病学、发病机制、常见变应原、临床表现以及诊断、治疗和预防原则,并突出了过敏性哮喘与非过敏性哮喘的异同。根据国际和国内哮喘指南的原则,本指南特别强调了变应原特异性免疫治疗、抗IgE治疗、抗过敏治疗、过敏性合并症的管理以及三级预防。基于中国的循证医学和临床实践,本指南提出了相关建议,以指导中国过敏性哮喘的诊断、治疗和管理。

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