妊娠期支气管哮喘治疗进展

被引：4

作者：

蒋雷服

殷凯生

黄茂

机构：

[1] 南京医科大学第一附属医院呼吸科

来源：

国际呼吸杂志 | 2010年 / 11期

关键词：

妊娠; 哮喘; 治疗;

D O I：

暂无

中图分类号：

R562.25 [];

学科分类号：

摘要：

临床研究已证明妊娠期重度及控制不佳的支气管哮喘（简称哮喘）与母亲及胎儿严重并发症相关。对于妊娠期哮喘患者,接受药物治疗比存在哮喘症状和哮喘发作更安全。所有程度的持续妊娠哮喘患者都应当应用吸入糖皮质激素作为控制药物,首选布地奈德。白三烯受体拮抗剂可以缓解支气管痉挛、减轻症状、改善肺功能。长效β2受体激动剂对于正在应用吸入糖皮质激素的患者可作为首选的添加药物。吸入短效β2受体激动剂可以作为缓解药物。对于正在接受维持量或接近维持量治疗,无不良反应、临床疗效好的妊娠哮喘患者可以继续进行变应原免疫治疗。

引用

页码：689 / 692

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