在2019新型冠状病毒流行期间，哮喘患者应持续使用哮喘吸入控制药物
2020/03/20
一些消息来源建议，在2019新型冠状病毒流行期间，应避免使用“糖皮质激素”。这是关于口服糖皮质激素的建议:除非有明确的使用指征，避免使用。然而，哮喘患者不应该停止使用已处方的吸入糖皮质激素药物(或已处方口服的糖皮质激素)作为控制性药物。停止吸入糖皮质激素，通常有导致潜在的、危险性的哮喘恶化。在重症哮喘发作期间，避免使用口服糖皮质激素使用，可能会造成严重的后果。有时需要长期口服糖皮质激素治疗重症哮喘，突然停止使用可能给患者带来危险。在停止任何哮喘药物治疗之前，患者一定要征询主治医生或护士等专业人士的意见。
继续使用你的吸入哮喘控制药物，如果你的哮喘恶化，遵循哮喘行动计划的指引，如何调整哮喘治疗药物和何时寻求医学帮助。
降低感染2019新型冠状病毒风险的实用建议，可以在美国疾病控制中心(CDC)的网站上找到:https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html。自我防护最重要的方法之一就是经常用肥皂和水洗手至少20秒，并且不要用没洗过的手触碰眼睛、鼻子或口腔。
（如果有新的关于哮喘患者2019新型冠状病毒期间哮喘患者治疗管理的证据出现，我们将更新建议。）
People with asthma should continue to use their inhaled asthma controller medications during the COVID-19 epidemic
Some sources have suggested that “corticosteroids” should be avoided during the COVID-19 epidemic. This advice is about the use of oral corticosteroids unless there is a clear indication for their use. However, patients with asthma should not stop their prescribed inhaled corticosteroid controller medication (or prescribed oral corticosteroids). Stopping inhaled corticosteroids often leads to potentially dangerous worsening of asthma, and avoiding oral corticosteroids during severe asthma attacks may have serious consequences. Long-term oral corticosteroids may sometimes be required to treat severe asthma, and it may be dangerous to stop them suddenly. Always discuss with your doctor or nurse before stopping any asthma medication.
Keep taking your inhaled asthma controller medication, and if your asthma gets worse, follow the instructions on your asthma action plan for how to change your asthma medications and when to seek medical help.
Practical advice for reducing your risk of contracting COVID-19 can be found on the website of the Centers for Disease Control (CDC) at https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html. One of the most important ways of protecting yourself is to wash your hands frequently with soap and water for at least 20 seconds, and never touch your eyes, nose or mouth with unwashed hands.
继续使用你的吸入哮喘控制药物，如果你的哮喘恶化，遵循哮喘行动计划的指引，如何调整哮喘治疗药物和何时寻求医学帮助。
降低感染2019新型冠状病毒风险的实用建议，可以在美国疾病控制中心(CDC)的网站上找到:https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html。自我防护最重要的方法之一就是经常用肥皂和水洗手至少20秒，并且不要用没洗过的手触碰眼睛、鼻子或口腔。
全球哮喘防治创仪（GINA）
2020年3月19日
2020年3月19日
（如果有新的关于哮喘患者2019新型冠状病毒期间哮喘患者治疗管理的证据出现，我们将更新建议。）
(中日友好医院 林江涛 编译)
People with asthma should continue to use their inhaled asthma controller medications during the COVID-19 epidemic
Some sources have suggested that “corticosteroids” should be avoided during the COVID-19 epidemic. This advice is about the use of oral corticosteroids unless there is a clear indication for their use. However, patients with asthma should not stop their prescribed inhaled corticosteroid controller medication (or prescribed oral corticosteroids). Stopping inhaled corticosteroids often leads to potentially dangerous worsening of asthma, and avoiding oral corticosteroids during severe asthma attacks may have serious consequences. Long-term oral corticosteroids may sometimes be required to treat severe asthma, and it may be dangerous to stop them suddenly. Always discuss with your doctor or nurse before stopping any asthma medication.
Keep taking your inhaled asthma controller medication, and if your asthma gets worse, follow the instructions on your asthma action plan for how to change your asthma medications and when to seek medical help.
Practical advice for reducing your risk of contracting COVID-19 can be found on the website of the Centers for Disease Control (CDC) at https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html. One of the most important ways of protecting yourself is to wash your hands frequently with soap and water for at least 20 seconds, and never touch your eyes, nose or mouth with unwashed hands.
Global Initiative for Asthma (GINA)
19 March 2020
This advice will be updated if new evidence emerges about management of COVID-19 in patients with asthma19 March 2020
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疾风知劲草，疫情砥初心——记慢性气道疾病专委会主委林江涛教授所在党支部
