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哮喘与慢性阻塞性肺疾病重叠的管理

Managing the overlap of asthma and chronic obstructive pulmonary disease.

作者信息

Knight Anne

机构信息

Hunter New England Local Health District, Taree, NSW.

University of Newcastle Department of Rural Health, NSW.

出版信息

Aust Prescr. 2020 Feb;43(1):7-11. doi: 10.18773/austprescr.2020.002. Epub 2020 Feb 3.

Abstract

Approximately 20% of patients with obstructive lung disease have features of both asthma and chronic obstructive pulmonary disease These patients have a higher burden of disease and increased exacerbations compared to those with asthma or chronic obstructive pulmonary disease alone Management should address dominant clinical features in each individual patient, and comorbidities should be considered There are several interventions that are useful in the management of both asthma and chronic obstructive pulmonary disease As inhaled corticosteroids are key to the management of asthma, they are recommended in patients with overlapping chronic obstructive pulmonary disease

摘要

约20%的阻塞性肺疾病患者同时具有哮喘和慢性阻塞性肺疾病的特征。与单纯患有哮喘或慢性阻塞性肺疾病的患者相比,这些患者的疾病负担更重,病情加重次数更多。管理应针对每个患者的主要临床特征,并考虑合并症。有几种干预措施对哮喘和慢性阻塞性肺疾病的管理都有用。由于吸入性糖皮质激素是哮喘管理的关键,因此推荐用于合并慢性阻塞性肺疾病的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482a/7026918/14343b6e6f27/austprescr-43-7-f1.jpg

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