轻度支气管哮喘诊断与治疗中国专家共识(2023)  

Expert consensus on the diagnosis,treatment and management of mild bronchial asthma in China(2023 edition)

作　　者：中华医学会呼吸病学分会 张曼 沈华浩[3] Chinese Thoracic Society;Zhang Min;Shen Huahao(不详;Department of Respiratory Medicine,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200080,China;Key Laboratory of Respiratory Disease of Zhejiang Province,Department of Respiratory and Critical Care Medicine,Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]不详 [2]上海交通大学医学院附属第一人民医院呼吸与危重症医学科,上海200080 [3]浙江省呼吸疾病诊治及研究重点实验室浙江大学医学院附属第二医院呼吸与危重症医学科,杭州310009

出　　处：《中华结核和呼吸杂志》2023年第9期880-896,共17页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：支气管哮喘(简称哮喘)是最常见的慢性呼吸疾病之一。及时诊断、有效治疗、规范化管理有助于延缓轻度哮喘病程进展,减轻疾病负担。轻度哮喘患者占总哮喘人群半数以上。因轻度哮喘患者症状较轻且多不典型,肺通气功能相对正常,不易受到医生或患者的重视,导致诊断延误。中华医学会呼吸病学分会哮喘学组组织相关专家制定本共识,主要内容包括:定义、流行病学、诊断与评估、治疗与管理、教育和预防,并对轻度不典型哮喘的诊治意见进行阐述,在诊治方法上注重基层可操作性,以期指导中国临床医生规范诊治轻度哮喘。Bronchial asthma is a common chronic respiratory disease.Patients with mild asthma account for more than half of the total asthma population.The diagnosis of mild asthma is much more difficult because the symptoms are mild and sometimes atypical,and even in the presence of near-normal pulmonary ventilation function,usually undetected by physicians or patients.Timely diagnosis,effective treatment and standardized management will prevent from the progression and reduce the burden of mild asthma.In order to guide physicians in the diagnosis,treatment and management of mild asthma,the Asthma Group of the Chinese Thoracic Society organized relevant experts to develop the Expert Consensus.This consensus includes epidemiology,diagnosis and evaluation,treatment and management,education and prevention of mild asthma,also involving diagnosis and treatment of mild atypical asthma.This expert consensus is intended to provide with expert opinion to improve the understanding and standardized diagnosis and treatment of mild asthma among clinicians in China,especially in primary care clinics.

关 键 词：中华医学会 轻度哮喘 疾病负担 支气管哮喘 流行病学 诊断延误 肺通气功能 规范化管理 

分 类 号：R562.25[医药卫生—呼吸系统]