{"id":19457,"date":"2020-11-23T11:00:59","date_gmt":"2020-11-23T03:00:59","guid":{"rendered":"https:\/\/www.finddoc.com\/health\/?p=19457"},"modified":"2020-11-23T11:04:00","modified_gmt":"2020-11-23T03:04:00","slug":"%e6%b2%bb%e7%99%82%e5%93%ae%e5%96%98%e6%96%b0%e6%96%b9%e5%90%91","status":"publish","type":"post","link":"https:\/\/www.finddoc.com\/health\/en\/doctors-blog\/%e6%b2%bb%e7%99%82%e5%93%ae%e5%96%98%e6%96%b0%e6%96%b9%e5%90%91\/","title":{"rendered":"\u6cbb\u7642\u54ee\u5598\u65b0\u65b9\u5411"},"content":{"rendered":"\n<p>\u8cc7\u6599\u63d0\u4f9b\uff1a \u547c\u5438\u7cfb\u7d71\u79d1\u91ab\u751f<a href=\"https:\/\/www.finddoc.com\/health\/tag\/%E5%90%B3%E8%80%80%E8%90%8D\/\">\u5433\u8000\u840d<\/a> <\/p>\n\n\n\n<p>\u8ac7\u5230\u54ee\u5598\u85e5\uff0c\u76f8\u4fe1\u5927\u90e8\u5206\u4eba\u90fd\u6703\u60f3\u5230\u75c5\u767c\u6642\u4f7f\u7528\u7684\u5438\u5165\u5f0f\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291 (Short-Acting Beta-Agonist\uff0c\u7c21\u7a31SABA)\u3002\u4f46\u5176\u5be6\u5728\u54ee\u5598\u6cbb\u7642\u4e2d\uff0c\u9664\u4e86\u8212\u7de9\u75c7\u72c0\u7684\u6c23\u7ba1\u8212\u5f35\u5291\u5916\uff0c\u5e6b\u52a9\u6c23\u7ba1\u6d88\u708e\u7684\u85e5\u7269\u540c\u6a23\u5341\u5206\u91cd\u8981\u3002 \u5ffd\u7565\u65e5\u5e38\u7684\u6c23\u7ba1\u6d88\u708e\u6709\u6a5f\u6703\u589e\u52a0\u54ee\u5598\u767c\u4f5c\u7684\u6a5f\u6703\uff0c\u751a\u81f3\u5c0d\u6c23\u7ba1\u9020\u6210\u96e3\u4ee5\u9006\u8f49\u7684\u50b7\u5bb3\u3002<\/p>\n\n\n\n<p>\u6839\u64da\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54 (Global Initiative for Asthma\uff0c\u7c21\u7a31GINA) \u65b0\u76842019\u53ca2020\u54ee\u5598\u8a3a\u7642\u6307\u5f15\uff0c\u6307\u51fa\u9664\u4e86\u75c5\u767c\u6642\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f5c\u6025\u6551\u7528\u9014\u5916\uff0c\u4e26\u4e0d\u5efa\u8b70\u55ae\u7368\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f5c\u70ba\u65e5\u5e38\u6cbb\u7642\u3002<sup>1<\/sup>\u5728\u65e5\u5e38\u6cbb\u7642\u4e2d\u4f7f\u7528\u6df7\u5408\u5f0f\u5438\u5165\u985e\u56fa\u9187\/\u9577\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff08Inhaled corticosteroids\/ Long-acting beta 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<\/h2>\n\n\n\n<p>\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u5728\u904e\u5f80\u4e94\u5341\u5e74\u4e00\u76f4\u662f\u6cbb\u7642\u54ee\u5598\u7684\u4e3b\u8981\u85e5\u7269\u4e4b\u4e00\uff0c\u5176\u4f5c\u7528\u662f\u5728\u54ee\u5598\u75c5\u767c\u6642\u4ee4\u6c23\u7ba1\u64f4\u5f35\uff0c\u4f5c\u70ba\u5373\u6642\u8212\u7de9\uff1b\u800c\u5438\u5165\u5f0f\u985e\u56fa\u9187\u7684\u4f5c\u7528\u662f\u66ff\u6c23\u7ba1\u6d88\u708e\uff0c\u6e1b\u5c11\u5176\u75c5\u767c\u6536\u7e2e\u7684\u6a5f\u6703\u30022019\u4ee5\u524d\uff0c\u5728\u90e8\u5206\u60c5\u6cc1\u4e0b\uff0c\u91ab\u751f\u6216\u6703\u55ae\u7368\u8655\u65b9\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u53bb\u6cbb\u7642\u54ee\u5598\uff0c\u4f46\u57282019\u5e74\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54\u66f4\u65b0\u4e86\u54ee\u5598\u8a3a\u7642\u6307\u5f15\uff0c\u63d0\u51fa\u4e0d\u61c9\u55ae\u7368\u4f7f\u7528\u6025\u6551\u85e5\u7269\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff0c\u800c\u61c9\u540c\u6642\u914d\u5408\u5438\u5165\u5f0f\u985e\u56fa\u9187\u6216\u6df7\u5408\u5f0f\u5438\u5165\u985e\u56fa\u9187\/\u9577\u6548\u6c23\u7ba1\u8212\u5f35\u5291 (ICS\/LABA) \u4f5c\u65e5\u5e38\u6cbb\u7642\uff0c\u4ee5\u6e1b\u5c11\u75c5\u767c\u7684\u6a5f\u6703\uff0c2020\u5e74\u66f4\u5021\u8b70\u70ba\u66f4\u6709\u6548\u63a7\u5236\u54ee\u5598\u75c5\u60c5\uff0c\u91ab\u751f\u53ef\u56e0\u61c9\u60a3\u8005\u75c5\u60c5\u56b4\u91cd\u7a0b\u5ea6\u8abf\u6574ICS\/LABA\u7684\u5291\u91cf\u4f5c\u70ba\u521d\u59cb\u6cbb\u7642\u3002<sup>1<\/sup><\/p>\n\n\n\n<p>\u5433\u91ab\u751f\u8868\u793a\uff0c\u8fd1\u5e74\u6709\u7814\u7a76\u986f\u793a\uff0c\u82e5\u60a3\u8005\u53ea\u55ae\u7368\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f86\u6cbb\u7642\u54ee\u5598\uff0c\u75c5\u60c5\u60e1\u5316\u7684\u98a8\u96aa\u6703\u5927\u5927\u589e\u52a0\u3002\u76f8\u53cd\uff0c\u82e5\u4ee5\u6c23\u7ba1\u8212\u5f35\u5291\u914d\u5408\u5438\u5165\u5f0f\u985e\u56fa\u9187\u5982ICS\/LABA\u4f5c\u65e5\u5e38\u6cbb\u7642\uff0c\u80fd\u6709\u6548\u6e1b\u5c11\u54ee\u5598\u767c\u4f5c\u7684\u6a5f\u6703\u3002\u540c\u6642\uff0c\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54\u904e\u5f80\u8f03\u504f\u5411\u968e\u6bb5\u6027\u65b9\u5f0f\u6cbb\u7642\uff08stepwise\napproach\uff09\uff0c\u4f46\u73fe\u5728\u8f03\u8457\u91cd\u4ee5\u75c5\u4eba\u7684\u60c5\u6cc1\u548c\u75c5\u767c\u7684\u983b\u7387\u4f5c\u51fa\u8a55\u4f30\uff0c\u5f9e\u800c\u4f5c\u51fa\u5408\u9069\u7684\u6cbb\u7642\u3002 <\/p>\n\n\n\n<h2>\u5438\u5165\u5f0f\u985e\u56fa\u9187\u526f\u4f5c\u7528\u5c0f \u6709\u52a9\u9810\u9632\u54ee\u5598\u75c5\u767c<\/h2>\n\n\n\n<p>\u591a\u5e74\u4f86\u5a92\u9ad4\u5c0d\u985e\u56fa\u9187\u526f\u4f5c\u7528\u7684\u5831\u5c0e\uff0c\u8b93\u4e0d\u5c11\u54ee\u5598\u60a3\u8005\u5c0d\u5438\u5165\u5f0f\u985e\u56fa\u9187\u751a\u70ba\u6297\u62d2\uff0c\u751a\u81f3\u5be7\u9858\u4f9d\u8cf4\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff0c\u66f4\u81ea\u884c\u6e1b\u5c11\u6216\u505c\u6b62\u4f7f\u7528\u5438\u5165\u5f0f\u985e\u56fa\u9187\u3002\u4f46\u5433\u91ab\u751f\u6307\u51fa\uff0c\u7531\u65bc\u5438\u5165\u5f0f\u985e\u56fa\u9187\u662f\u6c23\u7ba1\u5438\u5291\uff0c\u85e5\u7269\u6703\u76f4\u63a5\u9032\u5165\u6c23\u7ba1\uff0c\u9032\u5165\u8840\u6db2\u5faa\u74b0\u7684\u6a5f\u6703\u8f03\u5c11\uff0c\u800c\u4e14\u5291\u91cf\u4e5f\u6bd4\u53e3\u670d\u985e\u56fa\u9187\u4f4e\u5f88\u591a\uff0c\u56e0\u6b64\u526f\u4f5c\u7528\u4ea6\u8f03\u8f15\u5fae\u3002<\/p>\n\n\n\n<p>\u53cd\u4e4b\uff0c\u5982\u4e0a\u6587\u6240\u8aaa\uff0c\u904e\u5206\u4f9d\u8cf4\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u6703\u589e\u52a0\u75c5\u60c5\u60e1\u5316\u7684\u6a5f\u6703\uff0c\u7576\u75c5\u4eba\u56b4\u91cd\u75c5\u767c\u6642\uff0c\u91ab\u751f\u5c31\u6709\u53ef\u80fd\u9700\u8981\u8655\u65b9\u53e3\u670d\u985e\u56fa\u9187\uff08Oral corticosteroids) \u3002\u7531\u65bc\u5b83\u7684\u5291\u91cf\u8f03\u5927\uff0c\u5982\u9700\u9577\u671f\u670d\u7528\u526f\u4f5c\u7528\u4ea6\u76f8\u5c0d\u8f03\u591a\uff0c\u4f8b\u5982\u589e\u52a0\u9ad8\u8840\u58d3\u3001\u7cd6\u5c3f\u75c5\u3001\u9aa8\u8cea\u758f\u9b06\u548c\u767d\u5167\u969c\u7684\u98a8\u96aa\u3002<\/p>\n\n\n\n<p>\u6b64\u5916\uff0c\u6709\u4e0d\u5c11\u54ee\u5598\u60a3\u8005\u6709\u4e00\u500b\u932f\u89ba\uff0c\u4ee5\u70ba\u5438\u5165\u5f0f\u985e\u56fa\u9187\u5c0d\u63a7\u5236\u54ee\u5598\u75c5\u60c5\u6548\u7528\u4e0d\u9ad8\uff0c\u4f46\u5c31\u89ba\u5f97\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u66f4\u5feb\u901f\u548c\u6709\u6548\u6539\u5584\u54ee\u5598\u75c5\u60c5\u3002\u4e8b\u5be6\u4e0a\uff0c\u5438\u5165\u5f0f\u985e\u56fa\u9187\u7684\u4f5c\u7528\u662f\u66ff\u6c23\u7ba1\u6d88\u708e\uff0c\u9700\u9577\u671f\u670d\u7528\u624d\u6703\u770b\u5f97\u5230\u6548\u679c\u3002\u81f3\u65bc\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff0c\u5176\u4f5c\u7528\u70ba\u900f\u904e\u5373\u6642\u653e\u9b06\u6c23\u7ba1\uff0c\u7d13\u7de9\u54ee\u5598\u75c7\u72c0\uff0c\u4f46\u5c0d\u6c23\u7ba1\u767c\u708e\u9019\u500b\u54ee\u5598\u7684\u6839\u672c\u554f\u984c\u4e26\u7121\u6cbb\u7642\u529f\u6548\u3002 <\/p>\n\n\n\n<p>\u5433\u91ab\u751f\u61b6\u8ff0\uff0c\u5979\u66fe\u7d93\u6709\u4e00\u4f4d\u75c5\u4eba\u8a8d\u70ba\u81ea\u5df1\u55ae\u9760\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u5df2\u7d93\u80fd\u5920\u6709\u6548\u63a7\u5236\u75c5\u60c5\uff0c\u56e0\u800c\u4e00\u76f4\u6c92\u6709\u6309\u5979\u5efa\u8b70\u670d\u7528\u5438\u5165\u5f0f\u985e\u56fa\u9187\u3002\u5f8c\u4f86\u9019\u4f4d\u75c5\u4eba\u7d93\u6b77\u4e86\u4e00\u6b21\u56b4\u91cd\u54ee\u5598\u767c\u4f5c\uff0c\u751a\u81f3\u51fa\u73fe\u8840\u58d3\u4f4e\u7684\u60c5\u6cc1\uff0c\u88ab\u9001\u9032\u6df1\u5207\u6cbb\u7642\u90e8\u6551\u6cbb\uff0c\u91ab\u751f\u9700\u8981\u7528\u5230\u91dd\u5291\u985e\u56fa\u9187\u624d\u80fd\u7de9\u89e3\u75c5\u60c5\u3002\u51fa\u9662\u5f8c\uff0c\u75c5\u4eba\u9075\u7167\u5979\u7684\u6307\u5f15\u4ee5\u6df7\u5408\u5f0f\u5438\u5165\u985e\u56fa\u9187\n\/\u9577\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f5c\u70ba\u65e5\u5e38\u63a7\u5236\u75c5\u60c5\u7684\u85e5\u7269\uff0c\u53ca\u5f8c\u75c5\u60c5\u5373\u7372\u5f97\u597d\u8f49\u3002<\/p>\n\n\n\n<h2>\u81ea\u5f8b\u662f\u63a7\u5236\u75c5\u60c5\u7684\u95dc\u9375 <\/h2>\n\n\n\n<h3><strong>\u5bc6\u5207\u89c0\u5bdf\u75c5\u5fb5 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Control Questionnaire\uff09\uff0c\u9019\u4e9b\u8cc7\u6599\u8a18\u9304\u90fd\u6709\u52a9\u4e3b\u8a3a\u91ab\u751f\u8ddf\u9032\u60a3\u8005\u7684\u60c5\u6cc1\uff0c\u4ee5\u5236\u5b9a\u66f4\u5408\u9069\u7684\u6cbb\u7642\u65b9\u6848\u3002\u60a3\u8005\u53ef\u6309\u4ee5\u4e0b\u6309\u9215\u4e00\u6b21\u904e\u9032\u884c\u4e0a\u8ff0\u7684\u7528\u85e5\u7d00\u9304\u548c\u54ee\u5598\u63a7\u5236\u554f\u5377\uff0c\u4e26\u5c07\u7d50\u679c\u4e0b\u8f09\u6216\u5217\u5370\uff0c\u5728\u4e0b\u6b21\u8907\u8a3a\u6642\u4ea4\u4e88\u4e3b\u8a3a\u91ab\u751f\u4f5c\u9032\u4e00\u6b65\u8a55\u4f30\u3002 <\/p>\n\n\n\n        <div class=\"mb-3 \">\n            <a\n                class=\"btn btn-primary\"\n                href=\"https:\/\/www.finddoc.com\/self-tests\/asthma-%E5%93%AE%E5%96%98?itm_source=blog_19457&amp;itm_medium=blog_btn&amp;itm_campaign=asthma-today202011\"\n            >\n                \u8a55\u4f30\u60a8\u7684\u54ee\u5598\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n<p>\u5433\u91ab\u751f\u8868\u793a\uff0c\u5982\u6709\u9700\u8981\uff0c\u60a3\u8005\u53ef\u9032\u884c\u6700\u9ad8\u6d41\u901f\u6e2c\u8a66\uff0c\u65bc\u65e9\u665a\u6aa2\u67e5\u53ca\u8a18\u9304\u5ea6\u6578\uff0c\u5982\u679c\u65e9\u665a\u7684\u5ea6\u6578\u76f8\u5dee\u5f88\u5927\uff0c\u6216\u8005\u5ea6\u6578\u4f4e\u65bc80%\uff0c\u4fbf\u61c9\u544a\u8a34\u91ab\u751f\uff0c\u4ee5\u8abf\u6574\u6cbb\u7642\u65b9\u5f0f\u548c\u85e5\u7269\u7684\u7528\u91cf\u3002 <\/p>\n\n\n\n<h3><strong>\u9060\u96e2\u81f4\u654f\u6e90<\/strong> <strong>\u5efa\u7acb\u826f\u597d\u7684\u7fd2\u6163 <\/strong><\/h3>\n\n\n\n<p>\u5433\u91ab\u751f\u4e5f\u63d0\u9192\u60a3\u8005\uff0c\u826f\u597d\u7684\u751f\u6d3b\u7fd2\u6163\u4e5f\u662f\u6e1b\u4f4e\u767c\u4f5c\u98a8\u96aa\u7684\u91cd\u8981\u56e0\u7d20\u3002\u9060\u96e2\u81f4\u654f\u6e90\uff0c\u4f8b\u5982\u5875\u57c3\uff0c\u5875\u87ce\uff0c\u548c\u7279\u5b9a\u7684\u98df\u7269\u548c\u85e5\u7269\uff0c\u90fd\u80fd\u907f\u514d\u5f15\u767c\u54ee\u5598\u3002\u7576\u7a7a\u6c23\u6c61\u67d3\u56b4\u91cd\u7684\u6642\u5019\u76e1\u91cf\u7559\u5728\u5bb6\u4e2d\uff0c\u5982\u679c\u5fc5\u9808\u5916\u51fa\u5c31\u8981\u4f69\u6234\u53e3\u7f69\u4f86\u9694\u7d55\u81f4\u654f\u6e90\u3002\u540c\u6642\u60a3\u8005\u61c9\u9032\u884c\u9069\u7576\u904b\u52d5\u589e\u5f37\u80ba\u529f\u80fd\u548c\u514d\u75ab\u529b\uff0c\u5c0d\u9810\u9632\u548c\u61c9\u5c0d\u767c\u4f5c\u6709\u5f88\u5927\u5e6b\u52a9\u3002<\/p>\n\n\n\n<p>\u7c21\u55ae\u800c\u8a00\uff0c\u5438\u5165\u5f0f\u985e\u56fa\u9187\u7684\u4f5c\u7528\u662f\u300c\u6cbb\u672c\u300d\uff08\u66ff\u6c23\u7ba1\u6d88\u708e\uff09\uff0c\u6c23\u7ba1\u8212\u5f35\u5291\u7684\u4f5c\u7528\u662f\u300c\u6cbb\u6a19\u300d\uff08\u5373\u6642\u8212\u5f35\u6c23\u7ba1\uff09\uff0c\u5169\u8005\u5728\u54ee\u5598\u6cbb\u7642\u4e2d\u76f8\u8f14\u76f8\u6210\uff0c\u518d\u914d\u5408\u60a3\u8005\u5728\u65e5\u5e38\u751f\u6d3b\u4e2d\u81ea\u5f8b\uff0c\u624d\u662f\u5c0d\u63a7\u5236\u6548\u679c\u75c5\u60c5\u6700\u5168\u9762\u7684\u6cbb\u7642\u65b9\u6848\u3002<\/p>\n\n\n\n        <div class=\"mb-3 \">\n            <a\n                class=\"btn btn-primary\"\n                href=\"https:\/\/www.finddoc.com\/self-tests\/asthma-%E5%93%AE%E5%96%98?itm_source=blog_19457&amp;itm_medium=blog_btn&amp;itm_campaign=asthma-today202011\"\n            >\n                \u8a55\u4f30\u60a8\u7684\u54ee\u5598\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n        <div class=\"mb-3 \">\n            <a\n                class=\"btn btn-primary\"\n                href=\"https:\/\/finddoc.com\/en\/doctors\/specialist-in-respiratory-medicine\"\n            >\n                \u7acb\u5373\u9810\u7d04 - \u547c\u5438\u7cfb\u7d71\u79d1\u91ab\u751f\n            <\/a>\n        <\/div>\n    \n\n\n\n<p>HK-4654 12\/11\/2020<\/p>\n\n\n\n<p>\u672c\u7db2\u9801\u7531\u963f\u65af\u5229\u5eb7\u85e5\u5ee0(\u9999\u6e2f)\u652f\u6301\u88fd\u4f5c\uff0c\u5167\u5bb9\u53ea\u4f5c\u53c3\u8003\u4e4b\u7528\uff0c\u4e26\u975e\u63d0\u4f9b\u4efb\u4f55\u91ab\u7642\u610f\u898b\u6216\u5efa\u8b70\u4efb\u4f55\u5546\u54c1\u6216\u670d\u52d9\uff0c\u4ea6\u4e0d\u53ef\u53d6\u4ee3\u4efb\u4f55\u8a3a\u65b7\u6216\u6cbb\u7642\u3002\u6709\u95dc\u60a8\u500b\u4eba\u7684\u6cbb\u7642\u60c5\u6cc1\uff0c\u8acb\u8aee\u8a62\u60a8\u7684\u91ab\u751f\u70ba\u60a8\u4f5c\u51fa\u6e96\u78ba\u7684\u8a3a\u65b7\uff0c\u4e26\u63d0\u4f9b\u9069\u5408\u7684\u6cbb\u7642\u3002\u85e5\u7269\u7684\u6210\u6548\u548c\u53cd\u61c9\u56e0\u4f7f\u7528\u8005\u8eab\u9ad4\u72c0\u6cc1\u53ca\u500b\u5225\u75c7\u72c0\u6709\u6240\u4e0d\u540c\uff0c\u8a73\u60c5\u8acb\u5411\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u67e5\u8a62\u3002<\/p>\n\n\n\n<p>\u53c3\u8003\u8cc7\u6599\uff1a<\/p>\n\n\n\n<p>GINA Slides Set \u2013 Global Initiative for Asthma. (2020, April). Retrieved October 14, 2020, from <a href=\"https:\/\/ginasthma.org\/gina-reports\/\">https:\/\/ginasthma.org\/gina-slide-set\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u8cc7\u6599\u63d0\u4f9b\uff1a \u547c\u5438\u7cfb\u7d71\u79d1\u91ab\u751f\u5433\u8000\u840d \u8ac7\u5230\u54ee\u5598\u85e5\uff0c\u76f8\u4fe1\u5927\u90e8\u5206\u4eba\u90fd\u6703\u60f3\u5230\u75c5\u767c\u6642\u4f7f\u7528\u7684\u5438\u5165\u5f0f\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291 (Short-Acting Beta-Agonist\uff0c\u7c21\u7a31SABA)\u3002\u4f46\u5176\u5be6\u5728\u54ee\u5598\u6cbb\u7642\u4e2d\uff0c\u9664\u4e86\u8212\u7de9\u75c7\u72c0\u7684\u6c23\u7ba1\u8212\u5f35\u5291\u5916\uff0c\u5e6b\u52a9\u6c23\u7ba1\u6d88\u708e\u7684\u85e5\u7269\u540c\u6a23\u5341\u5206\u91cd\u8981\u3002 \u5ffd\u7565\u65e5\u5e38\u7684\u6c23\u7ba1\u6d88\u708e\u6709\u6a5f\u6703\u589e\u52a0\u54ee\u5598\u767c\u4f5c\u7684\u6a5f\u6703\uff0c\u751a\u81f3\u5c0d\u6c23\u7ba1\u9020\u6210\u96e3\u4ee5\u9006\u8f49\u7684\u50b7\u5bb3\u3002 \u6839\u64da\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54 (Global Initiative for Asthma\uff0c\u7c21\u7a31GINA) \u65b0\u76842019\u53ca2020\u54ee\u5598\u8a3a\u7642\u6307\u5f15\uff0c\u6307\u51fa\u9664\u4e86\u75c5\u767c\u6642\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f5c\u6025\u6551\u7528\u9014\u5916\uff0c\u4e26\u4e0d\u5efa\u8b70\u55ae\u7368\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f5c\u70ba\u65e5\u5e38\u6cbb\u7642\u30021\u5728\u65e5\u5e38\u6cbb\u7642\u4e2d\u4f7f\u7528\u6df7\u5408\u5f0f\u5438\u5165\u985e\u56fa\u9187\/\u9577\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff08Inhaled corticosteroids\/ Long-acting beta agonists\uff0c\u7c21\u7a31ICS\/LABA\uff09\u85e5\u7269\uff0c\u80fd\u540c\u6642\u8212\u5f35\u6c23\u7ba1\u53ca\u6d88\u708e\uff0c\u5c0d\u6539\u5584\u54ee\u5598\u75c5\u60c5\u7684\u6548\u679c\u66f4\u7406\u60f3\u30021 \u90a3\u5230\u5e95ICS\/LABA\u662f\u4ec0\u9ebc\uff0c\u8207\u50b3\u7d71\u54ee\u5598\u85e5\u6709\u4ec0\u9ebc\u5206\u5225\u5462\uff1f\u5c31\u6b64\u6211\u5011\u8acb\u4f86\u547c\u5438\u7cfb\u7d71\u79d1\u5433\u8000\u840d\u91ab\u751f\u70ba\u6211\u5011\u8b1b\u89e3\u3002 \u54ee\u5598\u85e5\u7269\u7a2e\u985e\u591a \u6df7\u5408\u5f0f\u85e5\u7269\u66f4\u6709\u6548\u6e1b\u5c11\u767c\u4f5c \u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u5728\u904e\u5f80\u4e94\u5341\u5e74\u4e00\u76f4\u662f\u6cbb\u7642\u54ee\u5598\u7684\u4e3b\u8981\u85e5\u7269\u4e4b\u4e00\uff0c\u5176\u4f5c\u7528\u662f\u5728\u54ee\u5598\u75c5\u767c\u6642\u4ee4\u6c23\u7ba1\u64f4\u5f35\uff0c\u4f5c\u70ba\u5373\u6642\u8212\u7de9\uff1b\u800c\u5438\u5165\u5f0f\u985e\u56fa\u9187\u7684\u4f5c\u7528\u662f\u66ff\u6c23\u7ba1\u6d88\u708e\uff0c\u6e1b\u5c11\u5176\u75c5\u767c\u6536\u7e2e\u7684\u6a5f\u6703\u30022019\u4ee5\u524d\uff0c\u5728\u90e8\u5206\u60c5\u6cc1\u4e0b\uff0c\u91ab\u751f\u6216\u6703\u55ae\u7368\u8655\u65b9\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u53bb\u6cbb\u7642\u54ee\u5598\uff0c\u4f46\u57282019\u5e74\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54\u66f4\u65b0\u4e86\u54ee\u5598\u8a3a\u7642\u6307\u5f15\uff0c\u63d0\u51fa\u4e0d\u61c9\u55ae\u7368\u4f7f\u7528\u6025\u6551\u85e5\u7269\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff0c\u800c\u61c9\u540c\u6642\u914d\u5408\u5438\u5165\u5f0f\u985e\u56fa\u9187\u6216\u6df7\u5408\u5f0f\u5438\u5165\u985e\u56fa\u9187\/\u9577\u6548\u6c23\u7ba1\u8212\u5f35\u5291 (ICS\/LABA) \u4f5c\u65e5\u5e38\u6cbb\u7642\uff0c\u4ee5\u6e1b\u5c11\u75c5\u767c\u7684\u6a5f\u6703\uff0c2020\u5e74\u66f4\u5021\u8b70\u70ba\u66f4\u6709\u6548\u63a7\u5236\u54ee\u5598\u75c5\u60c5\uff0c\u91ab\u751f\u53ef\u56e0\u61c9\u60a3\u8005\u75c5\u60c5\u56b4\u91cd\u7a0b\u5ea6\u8abf\u6574ICS\/LABA\u7684\u5291\u91cf\u4f5c\u70ba\u521d\u59cb\u6cbb\u7642\u30021 \u5433\u91ab\u751f\u8868\u793a\uff0c\u8fd1\u5e74\u6709\u7814\u7a76\u986f\u793a\uff0c\u82e5\u60a3\u8005\u53ea\u55ae\u7368\u4f7f\u7528\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\u4f86\u6cbb\u7642\u54ee\u5598\uff0c\u75c5\u60c5\u60e1\u5316\u7684\u98a8\u96aa\u6703\u5927\u5927\u589e\u52a0\u3002\u76f8\u53cd\uff0c\u82e5\u4ee5\u6c23\u7ba1\u8212\u5f35\u5291\u914d\u5408\u5438\u5165\u5f0f\u985e\u56fa\u9187\u5982ICS\/LABA\u4f5c\u65e5\u5e38\u6cbb\u7642\uff0c\u80fd\u6709\u6548\u6e1b\u5c11\u54ee\u5598\u767c\u4f5c\u7684\u6a5f\u6703\u3002\u540c\u6642\uff0c\u5168\u7403\u54ee\u5598\u5021\u8b70\u7d44\u7e54\u904e\u5f80\u8f03\u504f\u5411\u968e\u6bb5\u6027\u65b9\u5f0f\u6cbb\u7642\uff08stepwise approach\uff09\uff0c\u4f46\u73fe\u5728\u8f03\u8457\u91cd\u4ee5\u75c5\u4eba\u7684\u60c5\u6cc1\u548c\u75c5\u767c\u7684\u983b\u7387\u4f5c\u51fa\u8a55\u4f30\uff0c\u5f9e\u800c\u4f5c\u51fa\u5408\u9069\u7684\u6cbb\u7642\u3002 \u5438\u5165\u5f0f\u985e\u56fa\u9187\u526f\u4f5c\u7528\u5c0f \u6709\u52a9\u9810\u9632\u54ee\u5598\u75c5\u767c \u591a\u5e74\u4f86\u5a92\u9ad4\u5c0d\u985e\u56fa\u9187\u526f\u4f5c\u7528\u7684\u5831\u5c0e\uff0c\u8b93\u4e0d\u5c11\u54ee\u5598\u60a3\u8005\u5c0d\u5438\u5165\u5f0f\u985e\u56fa\u9187\u751a\u70ba\u6297\u62d2\uff0c\u751a\u81f3\u5be7\u9858\u4f9d\u8cf4\u77ed\u6548\u6c23\u7ba1\u8212\u5f35\u5291\uff0c\u66f4\u81ea\u884c\u6e1b\u5c11\u6216\u505c\u6b62\u4f7f\u7528\u5438\u5165\u5f0f\u985e\u56fa\u9187\u3002\u4f46\u5433\u91ab\u751f\u6307\u51fa\uff0c\u7531\u65bc\u5438\u5165\u5f0f\u985e\u56fa\u9187\u662f\u6c23\u7ba1\u5438\u5291\uff0c\u85e5\u7269\u6703\u76f4\u63a5\u9032\u5165\u6c23\u7ba1\uff0c\u9032\u5165\u8840\u6db2\u5faa\u74b0\u7684\u6a5f\u6703\u8f03\u5c11\uff0c\u800c\u4e14\u5291\u91cf\u4e5f\u6bd4\u53e3\u670d\u985e\u56fa\u9187\u4f4e\u5f88\u591a\uff0c\u56e0\u6b64\u526f\u4f5c\u7528\u4ea6\u8f03\u8f15\u5fae\u3002 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