2010-9-17哮喘课件.pptVIP

舒利迭——治疗哮喘的明星 主要内容 舒利迭?治疗可实现GINA 2008提出的哮喘治疗目标 舒利迭?优于单药治疗 舒利迭? 优于ICS+非LABA药物联合治疗 舒利迭? 优于福莫特罗/布地奈德复合制剂 目前，全球范围的哮喘控制现状不容乐观 目前，全球范围内患者过高估计哮喘控制水平 调查结果：87%低剂量ICS治疗的患者未达到哮喘控制 中国哮喘防治指南推荐舒利迭为达到哮喘临床控制的首选药物 舒利迭? 优于福莫特罗/布地奈德复合制剂 小结 舒利迭?比福莫特罗/布地奈德复方制剂 J Allergy Clin Immunol. 2004 Jul;114(1):40-7. Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys BACKGROUND: In 1995, the Global Initiative for Asthma (GINA) guidelines recommended goals for the management of asthma, which were updated in 2002. However, there are no recent international surveys on the real management of asthma. OBJECTIVE: The Asthma Insights and Reality surveys are the first large-scale surveys aimed at determining international variations in the severity, control, and management of asthma in children and adults. METHODS: A cross-section of households in 29 countries in North America, Europe, and Asia were surveyed to identify from the general population asthmatic patients with symptoms within the last year or who were taking current asthma medication. A standard questionnaire was administered to 7786 adults, and, through a proxy, to 3153 children with asthma. Objective and subjective patient perception of asthma control and severity were assessed, including access to medical care, health care use, missed work-school, and medication use. RESULTS: Despite variations at a country level, a substantial effect of asthma on patients lives was observed, with considerable loss of schooldays and workdays. The current level of asthma control worldwide falls far short of the goals for long-term management in international guidelines. A significant proportion of patients continue to have symptoms and lifestyle restrictions and to require emergency care. The proportion of adult asthmatic patients who were current smokers was also high. However, the use of anti-inflammatory preventative medication, even in patients with severe persistent asthma, was low, ranging fro