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支气管哮喘的动态监测
引用本文:江宏,韩江娜,朱元珏. 支气管哮喘的动态监测[J]. 国际呼吸杂志, 2011, 31(3): 222-226. DOI: 10.3760/cma.j.issn.1673-436X.2011.003.015
作者姓名:江宏  韩江娜  朱元珏
作者单位:北京协和医学院,北京协和医院呼吸科,中国医学科学院,100730
摘    要:支气管哮喘(简称哮喘)以症状及气流受阻的可逆性及变异性为突出特点,动态监测能够观察到患者在日常生活中报道的哮喘事件及其相关因素,从而明确诊断、改善哮喘控制、确定引起哮喘的环境因素.动态监测的内容包括症状、肺功能、炎症反应及医疗用药情况等几个方面,多维度监测有助于疾病诊断、鉴别诊断及哮喘控制程度评估.将动态监测的各项内容...

关 键 词:支气管哮喘  监测  哮喘控制  依从性

Dynamic monitoring in bronchial asthma
JIANG Hong,HAN Jiang-na,ZHU Yuan-jue. Dynamic monitoring in bronchial asthma[J]. International Journal of Respiration, 2011, 31(3): 222-226. DOI: 10.3760/cma.j.issn.1673-436X.2011.003.015
Authors:JIANG Hong  HAN Jiang-na  ZHU Yuan-jue
Abstract:Bronchial asthma (asthma) is characterized by airway inflammation, by reversible and variable airflow obstruction. Dynamic monitoring is essential in asthma control by recording the episodes in the natural and spontaneous context. Dynamicmonitoring plans in asthma patients are beneficial to obtain reliable person-level information, individual changes over time. The purpose of dynamic monitoring is to confirm the diagnosis of asthma, to improve control of asthma, and to identify environmental causes of asthma symptoms. The contents included in asthma dynamic monitoring are: symptoms, lung function,inflammatory markers and asthma medications. Asthma diary integrated with multidimensional monitoring contents is feasible in clinical practice. Rational monitoring should be performed at least twice a day during a period of 2 to 3 weeks. The compliance with dynamic monitoring decreased along with the duration.Electronic methods,flexible time design,old patients, high education level pointed to good compliance,however severe asthma, depression and anxiety meant bad compliance. Dynamic monitoring is confirmed to be beneficial to asthma control.
Keywords:Bronchial asthma  Monitoring  Asthma control  Compliance
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