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a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > h2{}.products_52_wrapper li p{}.mobiles_sidebar{}.foot_contact:before{}.index_sub_title a{}.other_184_right{}.HJZF_contact_inquiry{}.hj_navbar_nav > li > a > h2:before{}.nav_li.on>a h2{}.container-fluid{}.other_184_right{}.other_184_right>.index_sub_title{}#news-44_1891 > section > div > div > div > ul > li > div > div.index_text{}.other_184_right>.con{}.other_184_pagination{}.banner_27_zyzfw{}#aboutus-23_1891 > section > div > div > div > ul > li:nth-child(4){}.main_page{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(2) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(3) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(2):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(4).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(4):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(5).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(5):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(6).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(6):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(7).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(7):hover a{}.HJZF_Z__inner_product_categroy5 ul 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img{}.runlin_banner{}.runlin_banner_left{}.runlin_banner_right{}.runliin_top_email{}.runlin_email.first{}.runlin_des + .more{}.runlin_left li{}.runlin_yiji > span h3{}.submit_runlin_search{}.nav_drop{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > div.runlin_des > b{}.hjzf2_z_products_list_left a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{flex:0 0 100%}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > 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section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, 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世界哮喘日丨让每一位哮喘患者都能重享自由呼吸
  2024/05/07| 阅读次数:1332

今年5月7日(星期二)是第26个“世界哮喘日”,是用来提高全球对哮喘的认识,改善哮喘护理的一项活动。


本期,我们将结合今年主题,为大家更新关于哮喘防治的最新知识。


01
令人窒息的痛——哮喘发作的表现


哮喘是一种发生在气道的慢性炎症性疾病,同高血压一样是严重危害人民健康的一种慢性气道疾病之一。


当运送空气的管道(支气管)因炎症变得肿胀、狭窄、分泌物增多的时候,可导致喘息、气急、胸闷、咳嗽等呼吸道症状。炎症程度越重,呼吸困难的症状就越明显,随着时间的延长,可以导致一系列气道结构的改变。


而当患者身体出现以下反应时,要警惕是哮喘发作的早期预警征象!


1、频繁咳嗽,尤其在夜间;

2、呼吸用力或气短;

3、运动时感到十分疲劳或乏力;

4、运动后感到胸闷或咳嗽;

5、感到疲劳、容易烦躁,心情不快或喜怒无常;

6、出现感冒样或过敏症状,比如打喷嚏、流鼻涕、咳嗽、咽喉痛和头痛;

7、睡眠障碍。


02
能救命的知识!哮喘该怎么办?


1)脱离过敏原


比如花粉、尘螨,抽象些的类似于冷空气、粉尘等,要尽快找出过敏原,从而避免与它接触。


2)自测呼吸


在急性发作时,如果自备有简易呼气峰流量仪(PEF)可以自测并记录下来,立即吸入短效β2受体激动剂,第1小时内可每隔20分钟吸入1次;


15分钟后重复测定PEF,如果效果良好,即用药后PEF达到正常预计值或平时最高值的80%以上,可继续每隔3~4小时吸入短效β2受体激动剂1次,可在家继续观察治疗。


3)合理用药


一般首选吸入剂为主,建议平常以控制性药物维持治疗,急性发作期可联合应用缓解性药物,不建议平时长期连续应用短效支气管舒张剂维持治疗(如沙丁胺醇气雾剂、异丙托溴铵气雾剂等)。


多索茶碱能够拮抗呼吸道平滑肌钙离子的流动,具有缓解支气管痉挛的作用。盐酸氨溴索作为一种化痰药物,可促进呼吸道内黏稠分泌物的排除及减少黏液的滞留,因而显著促进排痰,改善呼吸状况。两者联用在支气管哮喘的治疗上有较好的临床效果。[1]



03
避免哮喘,预防十分关键!


1)远离过敏原


找出过敏原,避免与之接触,是预防哮喘反复发作的重要措施。


● 有些过敏原如尘土、尘螨,应尽量减少吸入。(例:床上用品经常洗晒,室内保持清洁、通风,不饲养猫、狗等)

● 对花粉过敏者,尤其在春季应当避免到郊外、花园等地方。空中花粉浓度高的时候,应遵医嘱有规律地服用抗组胺药物,对于较严重的花粉过敏性哮喘患者,应考虑增加吸入糖皮质激素的剂量。

● 在日常生活中注意加强过敏源的识别与规避,如鱼虾(海鱼)、鸡蛋、牛奶、菠萝、芒果、奶制品、小麦制品等。


2)远离烟酒


烟雾中含有醛类、氮氧化物等毒素,刺激呼吸道粘膜产生炎症,引起咳嗽、多痰,诱发和加重哮喘发作。


3)积极防治上呼吸道感染


上呼吸道感染不但可诱发哮喘,增加哮喘发作的次数,还容易使一般支气管哮喘发展成为哮喘持续状态,导致呼吸衰竭等严重并发症,因此积极防治上呼吸道感染,不容忽视。


4)适当锻炼


在缓解期应当参加适当的体育活动。如气功、太极拳、散步、跑步、游泳、呼吸训练等,如能长期坚持,循序渐进,可以增强体质,减少发作。


5)脱敏治疗

脱敏治疗是一种特异性免疫治疗,适用于过敏性(外源性)哮喘。其原理是用小剂量过敏原多次注射,使人体内逐渐产生抗体,以减少哮喘发作。


6)积极治疗相关疾病

因为有哮喘家族史或个人过敏史如婴儿湿疹、荨麻疹、过敏性鼻炎等的患者,支气管哮喘的患病率较一般群体高。对此人群应尽早治疗原发病,尽可能防止哮喘的发生。



哮喘的发作与季节的变化有着密切的关系,不同季节哮喘的发病都是不同的。


马上夏季来临,空调、冷饮都会无意中使哮喘病人遭遇冷因素的袭击,使原本就处于高反应状态的气管、支气管反射性地痉挛,引起咳嗽、气喘。


另外,使用空调的房间空气不能得到及时更新,空调滤网内存积的病毒和灰尘,也易诱发哮喘。


参考文献
[1]张静玉,王彦辉,张明亮.多索茶碱与盐酸氨溴索联合治疗支气管哮喘急性期患者的临床疗效观察[J].西北药学杂志,2016,(2):192-194.DOI:10.3969/j.issn.1004-2407.2016.02.024.


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