儿童哮喘治疗方案的选择江西省儿童医院陈强1指南不断推出指南不断推出指南不断推出指南不断推出IPCRG2007IPCRG2007IPCRG2007IPCRG2007NAEPP-EPR32007NAEPP-EPR32007NAEPP-EPR32007NAEPP-EPR32007GINA2009GINA2009GINA2009GINA20092现状依然堪忧现状依然堪忧现状依然堪忧现状依然堪忧�小儿哮喘的患病率逐年上升�我国三次儿童支气管哮喘患病率调查显示,儿童哮喘患病率由1990199019901990年的0.91%0.91%0.91%0.91%上升到2000200020002000年的1.94%1.94%1.94%1.94%�近期的研究****发现仍有66%66%66%66%的哮喘急性发作,,,,26.8%26.8%26.8%26.8%的入急诊,16.2%,16.2%,16.2%,16.2%需住院3****Statusofasthmacontrolinchildrenandtheeffectofparents'knowledge,attitude,andStatusofasthmacontrolinchildrenandtheeffectofparents'knowledge,attitude,andStatusofasthmacontrolinchildrenandtheeffectofparents'knowledge,attitude,andStatusofasthmacontrolinchildrenandtheeffectofparents'knowledge,attitude,andpractice(KAP)inChina:amulticenterstudy.AnnalsofAllergy,Asthma&immunology,practice(KAP)inChina:amulticenterstudy.AnnalsofAllergy,Asthma&immunology,practice(KAP)inChina:amulticenterstudy.AnnalsofAllergy,Asthma&immunology,practice(KAP)inChina:amulticenterstudy.AnnalsofAllergy,Asthma&immunology,2012,109(3),190-194宣传推广足适应症、足剂量、足疗程的合理治疗理念!!!!451.1.1.1.苏长海、卢立山苏长海、卢立山苏长海、卢立山苏长海、卢立山....吸入法治疗哮喘发展史吸入法治疗哮喘发展史吸入法治疗哮喘发展史吸入法治疗哮喘发展史....中国药师中国药师中国药师中国药师.2008;11(8):985-7..2008;11(8):985-7..2008;11(8):985-7..2008;11(8):985-7.2.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention2.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention2.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention2.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention((((updated2008updated2008updated2008updated2008))))....3.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention(updated20093.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention(updated20093.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention(updated20093.GlobalInitiativeforAsthma:GlobalStrategyforAsthmamanagementandPrevention(updated2009))))....4.4.4.4.中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组....儿童支气管哮喘防治常规儿童支气管哮喘防治常规儿童支气管哮喘防治常规儿童支气管哮喘防治常规((((试行试行试行试行).2004;42(2):100-6.).2004;42(2):100-6.).2004;42(2):100-6.).2004;42(2):100-6.5.5.5.5.中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组中华医学会儿科学分会呼吸学组....儿童支气管哮喘诊断与防治指南儿童支气管哮喘诊断与防治指南儿童支气管哮喘诊断与防治指南儿童支气管哮喘诊断与防治指南....中华儿科杂志中华儿科杂志中华儿科杂志中华儿科杂志.2008,46(10):745-53..2008,46(10):745-53..2008,46(10):745-53..2008,46(10):745-53.吸入疗法的历史吸入疗法的历史吸入疗法的历史吸入疗法的历史61.1.1.1.中华医学会儿科学分会呼吸学组《中华儿科杂志》编辑委员会....儿童支气管哮喘诊断与防治指南....中华儿科杂志.2008,46(10):745-53..2008,46(10):745-53..2008,46(10):745-53..2008,46(10):745-53.2.TheGlobalStrategyfortheDiagnosisandMangamentofAsthmainChildren5YearsandYounger(updated2009).2.TheGlobalStrategyfortheDiagnosisandMangamentofAsthmainChildren5YearsandYounger(updated2009).2.TheGlobalStrategyfortheDiagnosisand...