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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Exercise-induced bronchospasm: A case study in a nonasthmatic patient
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Exercise-induced bronchospasm: A case study in a nonasthmatic patient

机译：运动诱发的支气管痉挛：非哮喘患者的案例研究

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摘要

Purpose: To provide an overview of the clinical presentation, diagnosis, and management of exercise-induced bronchospasm (EIB) without underlying asthma. Data sources: Case presentation and review of the EIB Landmark Survey. Conclusions: EIB is a common and well-described occurrence in patients with asthma, as well as in patients with no overt respiratory condition. Treatment with a short-acting beta-agonist before starting exercise is effective, yet this treatment approach is underutilized in the majority of patients with asthma. Implications for practice: This case highlights the implications of undermanaged EIB and the disconnect between healthcare provider recommendations and the beliefs and behaviors in patients with EIB. Inhaled short-acting beta-agonists can attenuate EIB in 80%-95% of patients and are effective during 2-3 h of exercise. Patients with a compromised level of physical activity because of EIB who do not respond to conventional treatment strategies should be referred to a respiratory specialist for diagnostic evaluation and confirmation of underlying asthma. Nurse practitioners should remain vigilant to identify untreated EIB and ensure that affected patients understand the condition and appropriate treatment options.
机译：目的：概述运动诱发的支气管痉挛（EIB）而无潜在哮喘的临床表现，诊断和管理。数据来源：案例介绍和EIB地标调查的回顾。结论：EIB是哮喘患者以及无明显呼吸疾病的患者中常见且描述良好的情况。开始运动前用短效β受体激动剂进行治疗是有效的，但大多数哮喘患者未充分利用这种治疗方法。实践的意义：该案例强调了EIB管理不善的含义，以及医疗保健提供者的建议与EIB患者的信念和行为之间的脱节。吸入的短效β受体激动剂可以使80％-95％的患者的EIB减弱，并且在2-3小时的运动中有效。因EIB而导致身体活动水平下降而对常规治疗策略无反应的患者，应转诊至呼吸专科医生以进行诊断评估和基础哮喘的确认。执业护士应保持警惕，以识别未经治疗的EIB，并确保受影响的患者了解病情和适当的治疗选择。

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