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Reasonable diagnosis and treatment of children’s asthma, parents’ behavior must be stopped

Curchia (hereinafter referred to as asthma) is the most common chronic airway disease in childhood. For more than 20 years, the prevalence of asthma in my country has risen significantly. Asthma seriously affects the physical and mental health of children, and also brings a heavy spirit and economic burden on the family and society. At present, the overall level of control of children’s asthma is not ideal.

In 2010, the cumulative prevalence of asthma of children under the age of 14 nationwide was 3.02%.

In Shanghai, the prevalence of asthma in children aged 0 to 14 has risen to 7.57%, more than 200,000, and it turns over almost every 10 years, the highest in the country.

Children’s asthma is a heterogeneous disease. It is usually characterized by chronic airway inflammation. Although asthma can not be completely cured, we can fully achieve clinical control of asthma. Studies have shown that as long as the principles of treatment of long -term, persistent, standardized, and individualized, asthma can be controlled for a long time.

However, the author has encountered many children and parents who “half -way” asthma and parents who have “half -way” on the road of asthma treatment, and have to attract the attention of medical staff.

Remember to have such a child:

The child, Lin, female, 4 years old. He was breathing for the first time from August, and he improved after the treatment of atomization. After that, he had an breathing almost every month. At first, the family thought that the child would gradually improve.

At the age of 1 and a half, the child had a severe asthma and was hospitalized. Doctors at the specialist hospital diagnose bronchial asthma and recommend long -term family atomizing treatment, but parents have stopped the drug only for one month.

At the age of 2, the child appeared again, and he also had mild breathing after normal activities; the child did not love sports at this time; The growth and development are limited, and the child seems shorter than his peers.

Parents have once again visited a specialist hospital, and the doctor again suggested that long -term atomization treatment controls asthma. Parents insist on continuing to take medicine this time, and follow up for half a year.

However, seeing the children’s asthma controlled well, and asthma had not occurred in half a year, so the parents stopped the medicine again without authorization.

No accident, the child has an acute seizure of asthma during seasonal transformation, and even inpatient infusion treatment is needed to control the condition.

After that, parents had to take their children to continue fighting on the way to treat asthma …

I have encountered many such examples in clinical practice. The reason is that the reason is that parents do not let their children insist on taking medicine, minusing or stopping medicine without authorization, which leads to the recurrence of asthma in the child.

Sometimes I think about it, every time I do n’t insist, I feel “regret” for the child. Regrettably, every treatment of children’s asthma can not persist to the end, and after the attack, the treatment plan must be reset. Start and re -evaluate, the treatment cycle of asthma will inevitably extend again.

Drugs, control, stop medicine, seizures … Repeatedly and infinite cycles, every time the attack hurts children.

In the long run, asthma is not only more difficult to control, but also frequent seizures will also cause long -term irreversible damage to children’s breathing function. Once the airway is reshape, regret it, and regret it for life.

Is it really so difficult to persist?

The author found that there are many reasons for parents who cannot insist on medication. Perhaps there are “difficulties” in their eyes, but in summary, it is mainly concentrated in the following aspects:

1 worry about the side effects of hormones

This is also the most clinically met. It is undeniable that ICS (inhaled glucocorticoids) is the first choice for long -term control of asthma, and standardized use can achieve a good control effect.

However, some parents are worried that hormones will affect their children’s height, and they always like to compare their children’s children to others. Even if the growth and development are within the normal range, the height gap between the height of all dites will still think of the asthma medicine that the child is using. But this pot, the drugs that control the asthma attack are not back.

At present, a number of literature studies have found that children’s long -term inhalation of small and medium -sized doses of ICS does not affect the child’s hypothalamus -pituitary -adrenal axis, height, bone, and does not affect the weight growth rate of children, and does not affect their ultimate height. And the growth rate of each child is different, and the short -term assessment cannot predict the height of adults.

Some parents did not clean their children’s face in time after taking the medicine. When they saw a little “beard” around the child’s lips, they would be frightened and immediately stopped the child’s asthma drugs.

2 Parents’ attention is not enough, and the harm of poor asthma control in children is not well known.

Children and their families have a weak health awareness, lacking professional scientific asthma knowledge. They do not understand the treatment plan. If you have symptoms, use medicine. As everyone knows, although the symptoms have been alleviated, the high airway reaction still exists, and its recurrence risk is higher.

Some parents would rather believe that some non -proven folk remedies or traditional Chinese medicine preparations, and even some parents felt that asthma would not be treated.

I remember I heard a child’s grandma saying: It was the same when I was a child, and it was nothing to grow when I grew up.

This kind of speech is extremely harmful, not only shakes its confidence in active treatment of asthma, but also affects the family, friends and children around them, and let them have a resistance to the long -term treatment of asthma.

3 Parents are too “lazy”

There are not many cases of “cure asthma” in clinical practice. Most children with asthma can be effectively controlled after positive and regular treatment. However, there are such groups of parents in clinical practice. They are very clear about the harm of children’s asthma. They also understand that children’s asthma needs long -term, persistent and standardized medication. After the doctor explains, they will also say “good, right, right”.

But it’s too lazy and troublesome. I often refuse to take the child to the hospital for a consultation and assessment on the grounds that I don’t have time to work;

Although asthma drugs have been used, it is not clear about the effect of the child’s medication;

When asked if their children had cough, breathing, limited exercise, etc. recently;

I don’t want to take the child to the hospital for further evaluation;

Medical staff cannot grasp the control of their children’s asthma from these parents’ mouths, and whether children need to adjust the doctor’s doctor or not make a clear judgment.

Children’s bronchial asthma is mostly 4 to 8 years old. If children with such diseases are treated, asthma can basically be controlled in childhood, and no longer recur after adulthood.

An important thing is to say more about it. Here we solemnly inform parents that the control of children’s asthma needs to obey the guidance of a professional doctor. Do not stop or increase or decrease the drug without authorization.

At the same time, our medical staff must also actively communicate with parents, conduct health education for parents, and guide parents to actively deal with various problems encountered in the process of asthma diagnosis and treatment, especially the adverse reactions of some drugs, dispel parents’ doubts, improve the parents’s concerns, improve the improvement The compliance of children and parents.

Thanks to the guidance of this article for this article thanks to the attending doctor Zhang Jing, the attending doctor of the respiratory department of Shanghai Children’s Medical Center.


1. Guidelines for the diagnosis and prevention of bronchial asthma (2016 edition)

2. Huang Qunxian, Xiangyang. Investigation of compliance with bronchial asthma treatment and influencing factors of children’s bronchial asthma [J]. Modern Chinese doctor, 2014, 52 (4): 114-116

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