TY - JOUR T1 -学龄前儿童喘息障碍的定义、评估和治疗:循证方法JF -欧洲呼吸杂志》乔和J SP - 1096 LP - 1110欧元——10.1183/09031936.00002108六世- 32 - 4盟品牌,p . l . p . AU - Baraldi e . AU - Bisgaard h . AU -大错,a . l . AU - Castro-Rodriguez J . a . AU - Custovic a . AU - de Blic J . AU - de Jongste J . c . AU -希伯,e . AU -埃弗拉德,m . l . AU -弗雷,美国非盟- Gappa m . AU - Garcia-Marcos l . AU -感谢J . AU - Lenney w . AU - Le Souef p . AU -麦肯齐,s . AU - Merkus p . J . f . m . AU - Midullaf . AU -佩顿,j . y . AU - Piacentini g . AU - Pohunek p . AU -罗西,g . a . AU - Seddon p . AU -西尔弗曼,m . AU -狡猾,p . d . AU -棒,s . AU - Valiulis a . AU - van Aalderen w . m . c . AU - Wildhaber j . h . AU - Wennergren g . AU -威尔逊,联合国非盟,转而经营z . AU -布什,a Y1 - 2008/10/01 UR - //www.qdcxjkg.com/content/32/4/1096.abstract N2 -有可怜的协议定义不同表型的幼儿园气喘疾患。目前的工作组建议使用术语“偶发性(病毒性)喘息”来描述间歇性喘息和发作之间良好的儿童，并使用“多重触发喘息”来描述在离散发作期间和外部都喘息的儿童。只有在对诊断有疑问时才需要进行检查。基于现有的有限证据，建议通过计量吸入器/间隔剂组合吸入短效β2激动剂缓解症状。教育父母关于致病因素和治疗方法是有用的。应避免接触烟草烟雾;当致敏已经确定时，可以考虑避免过敏原。对于多诱因喘息，建议采用吸入性皮质类固醇维持治疗; benefits are often small. Montelukast is recommended for the treatment of episodic (viral) wheeze and can be started when symptoms of a viral cold develop. Given the large overlap in phenotypes, and the fact that patients can move from one phenotype to another, inhaled corticosteroids and montelukast may be considered on a trial basis in almost any preschool child with recurrent wheeze, but should be discontinued if there is no clear clinical benefit. Large well-designed randomised controlled trials with clear descriptions of patients are needed to improve the present recommendations on the treatment of these common syndromes. ER -