Refractory asthma accounted for bronchial asthma (asthma) in 5%, although the proportion is not high, but the rate of emergency medical trea
Refractory asthma accounted for bronchial asthma (asthma) in 5%, although the proportion is not high, but the rate of emergency medical treatment and hospitalization rates were 15 times of mild and moderate asthma patients and 20 times, is one of the important causes of asthma treatment costs increase. Therefore, it is very important to strengthen the control of refractory asthma.
This is refractory asthma
In the 2010 release of "China refractory asthma diagnosis and treatment expert consensus", including the diagnosis of refractory asthma: meet the diagnostic criteria of asthma guideline for prevention and treatment of asthma in our country; the exclusion of patients compliance and the exclusion of aggravated or induced adverse, asthma is difficult to control the factors in accordance with the guidelines; prevention and treatment of asthma in China, with two or more than two kinds of drug control over standard treatment and management for 6 months, still can not achieve ideal control.
"Heavy" + "long-standing joint treatment, deal with"
Treatment of drug types and common asthma refractory asthma but no difference in patients with refractory asthma often should also receive high-dose inhaled corticosteroids (ICS) and oral corticosteroids, or long-acting beta 2 agonists and high dose ICS combined therapy; to have been treated with a large dose of ICS and oral hormone, and theophylline is beneficial; anti immunoglobulin E (IgE) monoclonal antibody can be used as one of the methods for treatment of refractory asthma. In addition, a small dose of oral macrolide antibiotics (clarithromycin) also contribute to the treatment of refractory asthma.
Patient education is very important to follow up a victory with hot pursuit.
It is important to strengthen education and management for patients with refractory asthma. The content of education is not only to make the patients for individualized treatment plan approval, to help them avoid contact allergens, reduce or avoid harmful stimuli, correct method of imparting the inhalation device also includes (next will explain). In addition, smoking is difficult to control asthma is an important reason to help patients quit smoking, essential.
The management of patients with asthma mainly refers to the control test, simple peak flow meter monitoring and recording asthma diaries, etc., so that patients know the disease, self-management.