儿童哮喘小气道功能障碍评估及治疗专家共识  

Expert consensus on evaluation and treatment of small airway dysfunction in children with asthma

作　　者：上海市医学会儿科学分会呼吸学组 上海儿童医学中心儿科医疗联合体(浦东) 上海智慧儿科临床诊治技术工程技术研究中心 邬宇芬[2] 殷勇[2] 董晓艳[3] 洪建国 Respiratory Group of Pediatric Branch of Shanghai Medical Association;Shanghai Children's Medical Center Pediatric Medical Complex(Pudong);Pediatric Artificial Intelligence Clinical Application and Research Center,Shanghai Children's Medical Center;Yin Yong;Dong Xiaoyan;Hong Jianguo

机构地区：[1]不详 [2]上海交通大学医学院附属上海儿童医学中心 [3]上海交通大学附属上海市儿童医院 [4]上海交通大学附属第一人民医院

出　　处：《中华实用儿科临床杂志》2021年第23期1761-1768,共8页Chinese Journal of Applied Clinical Pediatrics

基　　金：上海市科委"科技创新行动计划"生物医药领域科技支撑项目(19441909000)。

摘　　要：哮喘是气道慢性炎症性疾病,炎症会影响整个呼吸道,包括中央气道到外周小气道。哮喘患儿小气道阻力可达总气道阻力的50%以上,是气道阻塞的主要部分。早期识别和评估小气道功能异常,并给予科学规范的治疗,对控制儿童哮喘、改善预后有重要的意义。本专家共识对儿童哮喘小气道功能障碍提出了评估方法和治疗建议,有助于提升临床医师的诊治能力,进一步优化儿童哮喘的治疗。Asthma is a chronic inflammatory disease of the airway.Inflammation affects the whole respiratory tract,including the central airway to the peripheral small airway.The small airway resistance of asthmatic children is more than 50% of the total airway resistance,which is the main part of airway obstruction.Early identification and evaluation of small airway dysfunction and scientific and standardized treatment are of great significance to control childhood asthma and improve prognosis.This expert consensus puts forward evaluation methods and treatment suggestions for small airway dysfunction in children with asthma,which will help to improve the diagnosis and treatment ability of clinicians and further optimize the treatment of children′s asthma.

关 键 词：儿童 哮喘 小气道 评估 治疗 

分 类 号：R725.6[医药卫生—儿科]