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Small airway dysfunction and bronchial asthma control : the state of the art

机译:小气道功能障碍和支气管哮喘控制:现有技术

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摘要

According to national and international guidelines, achieving and maintaining asthma control is a major goal of disease management. In closely controlled clinical trials, good asthma control can be achieved , with the medical treatments currently available, in the majority of patients , but large population-based studies suggest that a significant proportion of patients in real-life setting experience suboptimal levels of asthma control and report lifestyle limitations with a considerable burden on quality of life. Poor treatment adherence and persistence, failure to use inhalers correctly, heterogeneity of asthma phenotypes and associated co-morbidities are the main contributing factors to poor disease control. Now, it is widely accepted that peripheral airway dysfunction , already present in patients with mild asthma, is a key contributor of worse control. The aim of this paper is to investigate the association between small-airways dysfunction and asthma symptoms/control. We therefore performed a PubMed search using.
机译:根据国家和国际指南,实现和维持哮喘控制是疾病管理的主要目标。在密切控制的临床试验中,可以实现良好的哮喘控制,随着目前可用的医疗治疗,在大多数患者中,但大量的人口研究表明,实际环境中的患者大部分患者患者次优患者的哮喘控制并报告生活方式限制,具有相当大的生活责任。差的治疗依恋和持续性,未正确使用吸入器,哮喘表型的异质性和相关的疾病患者的主要因素是疾病控制差的主要因素。现在,众所周知,已经存在于轻度哮喘患者的外周气道功能障碍是更糟糕的控制的关键因素。本文的目的是探讨小气道功能障碍和哮喘症状/控制之间的关联。因此,我们执行了PubMed搜索。

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