2016版儿童支气管哮喘诊断与防治指南教学内容.pptxVIP

2016版儿童支气管哮喘诊断与防治指南;《儿童支气管哮喘诊断和防治指南》发表于2008年后…;儿童支气管哮喘哮喘的定义 诊断和评估;新指南哮喘定义;;临床特点;6岁以下儿童喘息分型;按症状表现形式： 发作性喘息：常与上呼吸道感染相关，发作控制后症状可完全缓解，发作间歇期无症状。 多诱因性喘息：可由多种触发因素诱发，喘息发作的间歇期也有症状(如夜间睡眠过程中、运动、大笑或哭闹时)。;6岁儿童喘息特点;Darveaux JI, et al. J Allergy Clin Immunol Pract 2014;2:658-63;婴幼儿喘息及肺功能变化;哮喘的诊断;哮喘的诊断;＜６岁儿童哮喘的诊断评估;＜６岁儿童哮喘的诊断评估;哮喘预测指数Modified asthma predictive index, mAPI;哮喘预测工具Asthma Prediction Tool;哮喘预测工具Asthma prediction tool;;哮喘诊断和病情监测评估的相关检查;;哮喘诊断和病情监测评估的相关检查;19分或以下，说明哮喘控制情况不佳。;Childhood Asthma Control Test, C－ACT for children 4 to 11 years;1、During the past 4 weeks, how often was your child bothered by breathing problems, such as wheezing, coughing, or shortness of breath? Not at all once or twice once every week 2 or 3 times a week 4 or more times a week 2、During the past 4 weeks, to what extent did your child’s breathing problems,such as wheezing, cough, or shortness of breath, interfere with his or her abilityto play, go to school, or engage in usual activities that a child should be doing athis or her age? Not at all slightly moderately quite a lot extremely 3、During the past 4 weeks, how often did your child’s breathing problems (wheezing, coughing, shortness of breath) wake him or her up at night? Not at all once or twice once every week 2 or 3 times a week 4 or more times a week 4、During the past 3 months, how often did you need to treat your child’s breathing problems with rescue or quick-relief medications? Not at all once or twice once every week 2 or 3 times a week 4 or more times a week 5、During the past 12 months, how often did your child need to take oralcorticosteroids for breathing problems not controlled by other medications? Never once twice 3 times 4 or more time;哮喘分期与分级;哮喘的分期; ≥6岁儿童 评估项目;;哮喘的分级 基于”疾病严重度”分级;;哮喘的分级 基于”急性发作严重度”分级;中华儿科杂志，54（3）：167-181;儿童支气管哮喘的治疗;哮喘治疗——长期管理的目标;哮喘的防治原则;强调：基于症状控制的哮喘管理模式;儿童哮喘的长期治疗方案;≥6岁儿童哮喘的长期治疗方案;6岁儿童哮喘