哮喘2014指南课件.ppt

GINA guide reading  - 2014 content related to childhood asthma The definition of asthma:  Asthma is a heterogeneous disease characterized by chronic airway inflammation. With breathing, shortness of breath, chest tightness and cough history of respiratory symptoms, with variable constrained, expiratory flow intensity of respiratory symptoms and may change over time Classification of asthma Allergic asthma No allergic asthma Late onset asthma With fixed limited airflow of asthma With obesity asthma Allergic asthma: It Is the most easy to recognize asthma phenotypes, usually begins in childhood, with personal or family history of allergic diseases, such as eczema, allergic rhinitis, food or drug allergies.This part of the patients before treatment induced sputum examination, often hint eosinophilic airway inflammation.This part of patient response to inhaled corticosteroids (ICS) therapy is better. No allergic asthma: refers to some occur in adults, has nothing to do with allergic asthma.Induced sputum examination may be neutrophils, eosinophils, or only a few inflammatory cells of ICS poor response to treatment. Late onset asthma: some adults, adult women, in particular, for the first time in adulthood of asthma. This part of the patients have no allergy, and requires high dose of ICS therapy or ICS relative refractory. With fixed limited airflow of asthma: some long-term asthma patients, limited development for fixed air, may be associated with airway remodeling. With obesity asthma: some obese patients with asthma, have obvious respiratory symptoms, but almost no eosinophilic airway inflammation. The diagnosis of asthma Asthma diagnosis is still a difficult problem, GINA2014 version will asthma diagnosis according to the age, is divided into 5 years old and under, and 6 years old and above two parts. About 6 years old and above the diagnosis of childhood asthma For more than 6 years of age and the diagnosis of childhood asthma, shows the flow cha