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新冠疫情期间儿童哮喘管理的建议方法

A Suggested Approach for Management of Pediatric Asthma During the COVID-19 Pandemic.

作者信息

Ding Bo, Lu Yanming

机构信息

Department of Pediatrics, South Hospital of Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Front Pediatr. 2020 Sep 25;8:563093. doi: 10.3389/fped.2020.563093. eCollection 2020.

DOI:10.3389/fped.2020.563093
PMID:33102407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7546904/
Abstract

Asthma is a prevalent pediatric disease causing important health, economic, and emotional burdens around the world. Asthma attacks can be controlled with standardized management, but no cure exists for the disease. Many attacks are triggered by respiratory tract infections and children with basic airway diseases are at high risk for developing severe or critical illnesses. The new COVID-19 pandemic threatens to disrupt children's asthma control management and we have set out to summarize the main factors that need to be considered by pediatricians treating children with asthma at times like these. We discuss the intrinsic nature of asthma and its treatment, and the effects of irregular treatment giving recommendations such as the use of the WeChat platform and WeChat Official Accounts for follow-ups to improve children's asthma compliance during the pandemic. We also cover the COVID-19 protection strategies, and the importance of stress reduction, a balanced diet, exercise, and the avoidance of known attack triggers for maintaining good control of asthma during the pandemic.

摘要

哮喘是一种常见的儿科疾病,在全球范围内造成了重大的健康、经济和情感负担。哮喘发作可以通过标准化管理得到控制,但该疾病无法治愈。许多发作是由呼吸道感染引发的,患有基础性气道疾病的儿童发生重症或危重症的风险很高。新的新冠疫情可能会扰乱儿童哮喘的控制管理,我们已着手总结在这种时期治疗哮喘儿童的儿科医生需要考虑的主要因素。我们讨论了哮喘的本质及其治疗方法,以及不规律治疗的影响,并给出了一些建议,如利用微信平台和微信公众号进行随访,以提高疫情期间儿童哮喘的依从性。我们还阐述了新冠疫情防护策略,以及在疫情期间减轻压力、均衡饮食、锻炼和避免已知发作诱因对于维持哮喘良好控制的重要性。

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本文引用的文献

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Clinical characteristics of 182 pediatric COVID-19 patients with different severities and allergic status.儿童 COVID-19 患者不同严重程度和过敏状态的 182 例临床特征。
Allergy. 2021 Feb;76(2):510-532. doi: 10.1111/all.14452. Epub 2020 Sep 3.
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Asthma and COVID-19: Is asthma a risk factor for severe outcomes?哮喘与新冠病毒病:哮喘是导致严重后果的风险因素吗?
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[Influence of five-in-one management mode on disease prevention and control of school children with asthma].[“五位一体”管理模式对学龄期哮喘儿童疾病防控的影响]
Zhonghua Er Ke Za Zhi. 2019 Nov 2;57(11):870-875. doi: 10.3760/cma.j.issn.0578-1310.2019.11.011.
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