坚持喘途径,包括选前的支气管扩展剂史,可以减少住院治疗
Suttipong Ittiporn1,2, Kanlaya Prajongdee3
1Division of Allergy and Clinical Immunology, Department of Pediatrics, Buddhasothorn Hospital, Chachoengsao, Thailand.
概括
坚持喘治疗途径显著改善了严重的儿科喘恶化早期药物治疗. 这种坚持几乎将住院率降低了一半,突出了该途径.
科学领域:
- 儿科急救医学 儿科急救医学
- 呼吸系统医学 呼吸系统医学
- 临床途径实施实施
背景情况:
- 儿童严重喘恶化对医疗保健资源构成重大负担.
- 及时和适当的治疗对于管理儿科喘紧急情况至关重要.
- 标准化治疗途径旨在优化护理提供和患者的治疗结果.
研究的目的:
- 评估儿童喘治疗途径的坚持与住院率之间的关联.
- 评估路径坚持对严重喘恶化关键干预时间的影响.
主要方法:
- 对59名泰国儿童 (2-15岁) 进行前性队列研究,这些儿童患有严重喘恶化 (佛喘严重性得分≥8).
- 接受全身皮质类固醇和 nebulized 短效β-2 激动剂与ipratropium 化物治疗的患者被归类为坚持组.
- 分析包括使用多变量逻辑回归的药物管理时间,停留时间和住院率.
主要成果:
- 坚持该途径与在1小时内服用皮质类固醇 (88.6%与41.9%) 和ipratropium化物 (72.7%与12.2%) 的比率明显更高.
- 药物给药在坚持治疗的组中更快,用ipratropium化物给药时间更早31分钟.
- 由于严重喘恶化而住院的病例率在坚持治疗的组中几乎下降了一半 (36.4%与63.5%相比).
结论:
- 准确的严重程度评估和坚持喘临床途径与儿童严重喘恶化病例的住院减少有关.
- 实施标准化治疗途径可以优化严重喘儿童的紧急护理.
- 早期使用皮质类固醇和支气管扩展剂是急诊室有效喘管理的关键组成部分.
相关概念视频
01:30Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
01:20Asthma: Pathogenesis and Management
433
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
433
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:26COPD: Management Using Bronchodilators and Corticosteroids
236
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
236
01:25Antiasthma Drugs: β2-Adrenoceptor Agonists
290
Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
290