耳鼻喉科医生的喘管理考虑:当前的治疗方法
Dhanya Asokumar1, Amarbir S Gill1
1Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA.
Otolaryngologic clinics of North America
|November 3, 2023
概括
喘和慢性鼻炎经常一起发生. 有效的喘管理优先考虑吸入的皮质类固醇与长效β-激动剂,避免过度使用短效救援吸入器或口服类固醇.
科学领域:
- 肺部病理学 肺部病理学
- 过敏和免疫学 过敏和免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 喘经常与慢性鼻炎共存,这给患者带来了复杂的临床挑战.
- 目前的喘指南建议吸入类皮质类固醇与长效β-激动剂相结合,作为一线治疗.
- 作为救援单独治疗的短期β-激动剂的使用与喘恶化和死亡率的增加有关.
研究的目的:
- 审查目前的喘管理策略,特别是当与慢性鼻炎并发症时.
- 强调基于证据的药理学和非药理学干预措施,以控制喘.
- 强调多学科方法在统一管理呼吸道疾病方面的重要性.
主要方法:
- 关于喘和慢性鼻炎管理的当前文献和临床指南的综述.
- 对药理治疗选择的分析,包括吸入性皮质类固醇,长效β-激动剂和口服皮质类固醇.
- 评估非药物干预和风险因素的修改.
主要成果:
- 吸入性皮质类固醇与长效β-激动剂 (例如,形式醇) 的组合是控制喘的首选.
- 过度依赖短效β-激动剂作为唯一的救援疗法与不良结果有关.
- 由于潜在的副作用,建议谨慎使用口服皮质类固醇.
结论:
- 最佳的喘管理包括首选的组合吸入器和明智地使用口服类固醇.
- 非药物治疗策略,包括生活方式咨询,对于全面的喘护理至关重要.
- 统一的呼吸道疾病方法需要喘专家和耳鼻喉科医生之间的合作.
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