哮喘联盟

   摘要
   哮喘管理指南旨在通过建立哮喘管理的科学实践共识，提高当前知识在日常临床实践中的应用。最初的指南是基于专家意见的共识，旨在采用一个以严重性为基础的分类系统作为治疗指南。但是，哮喘研究的进步导致了以证据为基础的指南的发展，以及向以控制为基础的哮喘管理的主要范式转变。以控制为基础的管理是国家心肺血液研究所(NHLBI) 指南、全球哮喘倡议（GINA）指南和英国胸科协会（BTS）指南的核心，其中每个指南采用的证据量相同，但却根据各自特异性患者人群和社会经济需求着重不同方面。本章总结了这些指南的演变、关键点以及推荐中用以评估、检测和所有年龄段哮喘处理的证据，并特别着重于NHLBI指南。
 

（刘国梁 审校）
Adv Exp Med Biol. 2014;795:81-103. doi: 10.1007/978-1-4614-8603-9-6.

 

Management of Asthma: The Current US and European Guidelines.
 

Reddy AP, Gupta MR.
 

Abstract
Asthma management guidelines aim to improve the implementation of current knowledge into daily clinical practice by establishing a consensus of scientific practices for the management of asthma. Initial guidelines were based on consensus of expert opinion in order to employ a severity-based classification system as a guide to treatment. However, advances in asthma research led to the development of evidence-based guidelines and a major paradigm shift to control-based asthma management. Control-based management is central to the published guidelines developed by The National Heart, Lung, and Blood Institute (NHLBI), The Global Initiative for Asthma (GINA), and The British Thoracic Society (BTS), each one using the same volume of evidence but emphasizing aspects particular to their specific patient populations and socioeconomic needs. This chapter summarizes the evolution of these guidelines and summarizes the key points and evidence used in the recommendations for the assessment, monitoring, and management of asthma in all ages, with particular emphasis on the NHLBI guidelines.
 

Adv Exp Med Biol. 2014;795:81-103. doi: 10.1007/978-1-4614-8603-9-6.