儿童哮喘治疗循证新指南
2008/06/06
支气管哮喘是工业化城市中最常见的慢性儿科疾病之一,直到现在,由专家根据循证医学的方法所制定的指南已经应运而生了。这是第一个全球性的针对儿童哮喘的循证医学指南,在一月发布,由40多位美国过敏、哮喘和免疫学会以及欧洲变态和临床免疫学会的专家共同制定。
这项指南的诞生是非常符合时宜的。在美国,有超过五百万的儿童和青少年哮喘患者,患病率从1980年的3.6%上升到2005年的8.9%.低收入人群,少数民族,生活在内陆城市的哮喘患儿疾病致残率和死亡率均比其他人群高。
(汤葳 上海交通大学附属瑞金医院呼吸科 200025 摘译)
(JAMA. 2008 Mar 12;299(10):1122-1123.)
Mike Mitka
JAMA. 2008;299(10):1122-1123.
While asthma is the most common chronic childhood disease in industrialized countries, evidence-based guidelines generated through consensus of experts and specifically focused on treating children with the condition have been lacking—until now.
The first international guidelines specifically targeting pediatric asthma, published in January, were developed by about 40 international experts in pediatric allergy and asthma and have been endorsed by the American Academy of Allergy, Asthma, and Immunology and the European Academy of Allergology and Clinical Immunology (Bacharier LB et al. Allergy. 2008;63[1]:5-34).
The guidelines come at an opportune time. In the United States, where more than 5 million children and adolescents younger than 18 years have asthma, prevalence of the disorder has increased from 3.6% of all children in 1980 to 8.9% in 2005. Low-income populations, minorities, and children living in inner cities experience disproportionately higher morbidity and mortality due to asthma.