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儿童哮喘诊断与管理的最新进展。基于美国国立心肺血液研究所专家小组报告。

An update on the diagnosis and management of pediatric asthma. Based on the National Heart, Lung and Blood Institute expert panel report.

作者信息

Rachelefsky G, Fitzgerald S, Page D, Santamaria B

机构信息

UCLA Allergy Research Foundation.

出版信息

Nurse Pract. 1993 Feb;18(2):51-2, 55, 59-62.

PMID:8455812
Abstract

Asthma morbidity and mortality are increasing despite the availability of antiasthma medicines and a broader understanding of the pathology of the disease. In an attempt to enhance the understanding of asthma and to aid in appropriate asthma management, the National Heart, Lung and Blood Institute assembled an expert panel, which developed a report titled "Guidelines for the Diagnosis and Management of Asthma." These guidelines are designed to facilitate patient and health-care-provider education, and diagnosis and management of asthma. Proper diagnosis of the disease is a frequent problem in children and adults. For proper diagnosis of asthma, a complete patient history, physical examination and specific laboratory tests are required. Health care providers who educate patients and their families about common symptom triggers, encourage avoidance techniques and who incorporate state-of-the-art treatment for acute and chronic asthma management may reduce the recent increases in asthma morbidity and mortality while maintaining normal growth and development of the child.

摘要

尽管有抗哮喘药物可用,且对该疾病的病理有了更广泛的了解,但哮喘的发病率和死亡率仍在上升。为了增进对哮喘的了解并有助于进行适当的哮喘管理,美国国立心肺血液研究所召集了一个专家小组,该小组编写了一份题为《哮喘诊断和管理指南》的报告。这些指南旨在促进患者和医疗保健提供者的教育,以及哮喘的诊断和管理。对该疾病进行正确诊断在儿童和成人中都是一个常见问题。要正确诊断哮喘,需要完整的患者病史、体格检查和特定的实验室检查。向患者及其家人宣传常见症状触发因素、鼓励采用避免技巧,并采用最新的急性和慢性哮喘管理治疗方法的医疗保健提供者,可能会在维持儿童正常生长发育的同时,降低近期哮喘发病率和死亡率的上升。

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