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门诊医疗中的哮喘:客观诊断标准的应用。

Asthma in ambulatory care: use of objective diagnostic criteria.

作者信息

Barach E M

机构信息

Michigan State University, College of Human Medicine, Flint.

出版信息

J Fam Pract. 1994 Feb;38(2):161-5.

PMID:8308508
Abstract

Asthma, a disease of reversible airway hyperactivity, is responsible for 6.5 million visits to ambulatory care offices each year. In spite of treatment advances, asthma-related deaths have increased 31% from 1980 to 1987. The severity of asthma is often determined solely by history and physical examination, which can result in either overestimation or underestimation of disease severity. To optimize management, objective quantitative criteria should be added to the diagnostic evaluation. The use of peak flow meters provides physicians with easily obtainable objective measurements to augment their diagnostic armamentarium in the treatment of asthma.

摘要

哮喘是一种气道具有可逆性高反应性的疾病,每年导致650万人次到门诊护理机构就诊。尽管治疗方法有所进步,但从1980年到1987年,哮喘相关死亡人数仍增加了31%。哮喘的严重程度通常仅由病史和体格检查来确定,这可能导致对疾病严重程度的高估或低估。为了优化管理,诊断评估应增加客观的定量标准。使用峰值流量计可为医生提供易于获得的客观测量值,以增强他们在哮喘治疗中的诊断手段。

相似文献

1
Asthma in ambulatory care: use of objective diagnostic criteria.门诊医疗中的哮喘:客观诊断标准的应用。
J Fam Pract. 1994 Feb;38(2):161-5.
2
A randomized, controlled study to evaluate the role of an in-home asthma disease management program provided by respiratory therapists in improving outcomes and reducing the cost of care.一项随机对照研究,旨在评估呼吸治疗师提供的家庭哮喘疾病管理项目在改善治疗效果和降低护理成本方面的作用。
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Severity assessment in asthma: An evolving concept.哮喘的严重程度评估:一个不断演变的概念。
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Variability in asthma severity in pediatric subjects with asthma previously receiving short-acting beta2-agonists.先前接受短效β2受体激动剂治疗的小儿哮喘患者哮喘严重程度的变异性。
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Asthma severity categorization using a claims-based algorithm or pulmonary function testing.使用基于索赔的算法或肺功能测试进行哮喘严重程度分类。
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Ambulatory care visits for asthma: United States, 1993-94.1993 - 1994年美国哮喘门诊就诊情况
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Guidelines for the emergency management of asthma in adults. CAEP/CTS Asthma Advisory Committee. Canadian Association of Emergency Physicians and the Canadian Thoracic Society.成人哮喘急诊管理指南。CAEP/CTS哮喘咨询委员会。加拿大急诊医师协会和加拿大胸科学会。
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The use of spirometers and peak flow meters in the diagnosis and management of asthma among Spanish pediatricians. Results from the TRAP study.西班牙儿科医生使用肺活量计和峰值流量计诊断及管理哮喘的情况。TRAP研究结果
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Br J Gen Pract. 2000 Jan;50(450):7-12.

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