儿童支气管哮喘（Bronchial asthma in children）.docVIP

儿童支气管哮喘（Bronchial asthma in children） Over the past 20 years, significant progress has been made in the study of the pathogenesis of asthma and the effective control of asthma. In 1993, National Heart Lung Blood Institute in cooperation with the WHO global asthma management and prevention strategies of the report, while the implementation of Gina (GINA). Despite extensive efforts and many effective therapies, asthma control in many countries is still suboptimal, according to an international survey. In 2002, the GINA report noted, most asthmatics are expected to receive asthma control and should receive and maintain asthma control.. To meet this challenge, in 2005, the GINA executive board drew up a new report that not only absorbed new academic results, but also introduced an asthma management approach based on asthma control rather than asthma severity. The latest GINA report has been released on the GINA official website () in November 2006. Asthma management and Prevention - controlled treatment The patients current level of asthma control and treatment determines the choice of medication. For example, if the current treatment fails to control asthma, treatment should be escalated until asthma control. If asthma has been under control for more than 3 months, a step down treatment is required to maintain asthma control at the lowest and maintenance doses. If asthma is part of the control, you should consider upgrading treatment, choice of therapy depends on the choices of treatment availability (e.g., increasing the dosage or auxiliary medication), safety and cost, and patient satisfaction on the level of disease control. The treatment scheme is shown in Figure 1 the treatment based on the principle, but each medical institutions can use drugs scope and order, may be due to local drug supply (because of cost or other reasons), the acceptance of patients and physicians and different preference. Treatment ladder for asthma control Each step represents the choice of