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Choosing asthma step-up care.

机译:选择哮喘紧缩护理。

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摘要

Asthma is both easy and hard to treat. It is easy to treat because the vast majority of patients with asthma require little medication for a lot of benefit. In a patient with asthma previously untreated with a controller (i.e., a medication whose primary mechanism of action is not acute bronchodila-tion), initiating therapy with a controller often results in an improvement in asthma symptoms and lung function and a reduced number of asthma exacerbations. In the language of current asthma thinking, this approach addresses both the impairment and risk domains of asthma treatment. Asthma becomes hard to treat when asthma control is not obtained with the health care provider's first choice of a controller; this usually means that treatment needs to be stepped up and leads to the question, "My patient needs more treatment, but what will offer the greatest likelihood of improvement?
机译:哮喘既容易又难以治疗。 它易于治疗,因为绝大多数哮喘患者需要很少的药物治疗大量的益处。 在患有控制器的哮喘的患者中(即,其主要作用机制不是急性支气管扩张的药物),用控制器启动治疗通常导致哮喘症状和肺功能的改善和哮喘数量减少 加剧。 在目前哮喘思维的语言中,这种方法解决了哮喘治疗的损伤和风险域。 当使用医疗保健提供者的首选控制器没有获得哮喘控制时,哮喘变得难以治疗; 这通常意味着需要加强治疗并导致问题,“我的患者需要更多的治疗,但是将提供最大的改进可能性?

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