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截喘湯

醫案日記 2023-06-15 07:20:48

截(jie)喘湯

名(ming)醫(yi)姜春華采用截(jie)喘湯進行治療(liao),介紹如下:

方劑名稱:截喘湯

組成:佛耳草15克(ke)(ke)(ke),碧桃干15克(ke)(ke)(ke),老鸛草15克(ke)(ke)(ke),旋覆(fu)花(hua)10克(ke)(ke)(ke),全瓜蔞10克(ke)(ke)(ke),姜半夏10克(ke)(ke)(ke),防風(feng)10克(ke)(ke)(ke),五味子(zi)6克(ke)(ke)(ke)。

功能:降逆(ni)納(na)氣(qi),化痰截喘。

主治:支(zhi)氣管哮(xiao)喘(chuan)(chuan),咳嗽痰(tan)多(duo),氣逆喘(chuan)(chuan)促。

加(jia)(jia)(jia)減運用:氣虛者(zhe)(zhe)加(jia)(jia)(jia)白(bai)參(can)3克(ke)(ke)、黃芪30克(ke)(ke);腎虛者(zhe)(zhe)加(jia)(jia)(jia)蓯蓉(rong)15克(ke)(ke)、巴戟天(tian)15克(ke)(ke)、補(bu)骨脂15克(ke)(ke),亦可(ke)加(jia)(jia)(jia)蛤蚧3-5克(ke)(ke);陰虛有熱者(zhe)(zhe)加(jia)(jia)(jia)黃柏、知母、元(yuan)參(can)、生地各(ge)(ge)9克(ke)(ke);咳甚引起(qi)喘(chuan)促無痰(tan)(tan)或痰(tan)(tan)不多者(zhe)(zhe)可(ke)加(jia)(jia)(jia)南天(tian)竹(zhu)子6克(ke)(ke)、馬勃6克(ke)(ke)、天(tian)漿殼3只;熱喘(chuan)加(jia)(jia)(jia)石膏(gao)15克(ke)(ke)、知母、黃芩各(ge)(ge)10克(ke)(ke);寒喘(chuan)加(jia)(jia)(jia)炮附片9克(ke)(ke)、肉桂3克(ke)(ke),并以鵝管(guan)石9克(ke)(ke)研(yan)粉服(fu)(fu)或加(jia)(jia)(jia)服(fu)(fu)紫(zi)金丹(dan)(須特(te)制,砒(pi)石5克(ke)(ke)、明礬10克(ke)(ke)、豆(dou)豉(chi)100克(ke)(ke),糊丸(wan)綠豆(dou)大小,每(mei)服(fu)(fu)七八丸(wan),日服(fu)(fu)2次,有肝腎病勿服(fu)(fu),有效(xiao)與否一(yi)星期為(wei)止,切勿多服(fu)(fu)常(chang)服(fu)(fu));痰(tan)(tan)多咯不爽者(zhe)(zhe),加(jia)(jia)(jia)蘇子、白(bai)芥子、萊菔子各(ge)(ge)10克(ke)(ke);胃家實便秘者(zhe)(zhe)加(jia)(jia)(jia)服(fu)(fu)調胃承氣湯(tang)一(yi)劑(ji);喘(chuan)止后常(chang)服(fu)(fu)河車大造丸(wan)、左歸丸(wan)或右歸丸(wan),每(mei)服(fu)(fu)3克(ke)(ke),每(mei)日2次。

型(xing)病例:陳某(mou),男,46歲,干部。患支氣管(guan)哮(xiao)喘(chuan)(chuan)(chuan)30多年,每屆(jie)秋冬必大發,曾(ceng)用氨茶堿、皮質激(ji)素(su)類藥物(wu)治療,但僅能當時緩(huan)解,藥停又喘(chuan)(chuan)(chuan)。某(mou)日(ri)因天冷受寒,哮(xiao)喘(chuan)(chuan)(chuan)大發已有(you)四天,每晚看急診。于1980年12月25日(ri)請(qing)姜老(lao)會診。癥見哮(xiao)喘(chuan)(chuan)(chuan)咳嗽,喉間痰多氣塞,痰色白,惡寒,周身酸楚,胸(xiong)悶夜(ye)不能平臥,苔薄膩,脈浮緊。西醫診斷(duan):支氣管(guan)哮(xiao)喘(chuan)(chuan)(chuan),肺部感(gan)染(ran);中醫診斷(duan):哮(xiao)證(風寒挾痰)。

處方:炙麻(ma)黃9克(ke),防風9克(ke),佛(fo)耳草(cao)15克(ke),老鸛(guan)草(cao)15克(ke),碧桃干15克(ke),旋覆花9克(ke),半(ban)夏9克(ke),開(kai)金鎖15克(ke),合歡皮9克(ke),細辛1.5克(ke),皂莢(jia)3克(ke)。

此方服(fu)3劑(ji)后,支氣管哮(xiao)喘即有明顯(xian)緩解,服(fu)至7劑(ji),哮(xiao)喘平止(zhi),胸(xiong)部X片示“肺部感(gan)染(ran)消失”,其余癥狀也明顯(xian)改善(shan)。又續服(fu)7劑(ji)鞏(gong)固(gu)療效(xiao),以后服(fu)用(yong)右歸丸及人(ren)參蛤蚧(jie)散(san)扶(fu)正固(gu)本,隨訪(fang)3年(nian)未(wei)曾(ceng)復發。

哮喘病(bing)人可以從(cong)事射擊運動嗎

偏方
1.用春天起蒜時的嫩蒜60頭到90頭洗干凈,用蜂蜜浸泡封好后保存6個月,等到秋冬時打開食用,每天吃一頭。
2.柚子100-200克。將柚子生食,即可。連服1周。常吃可預防哮喘。
3.截喘湯
組成:佛耳草15克,碧桃干15克,老鸛草15克,旋覆花10克,全瓜蔞10克,姜半夏10克,防風10克,五味子6克。
功能:降逆納氣,化痰截喘。
主治:支氣管哮喘,咳嗽痰多,氣逆喘促。
甘唄草是眾多咽炎.咳嗽,哮喘患者輔助康復的法寶。
可多食(shi)潤腸通便的(de)食(shi)物(如(ru)蜂蜜、香蕉、胡桃、杏仁(ren)、菠菜等),以保持(chi)大便通暢

先(xian)天哮喘(chuan)能治好嗎

【治(zhi)(zhi)療(liao)(liao)(liao)措施(shi)】 近年來,隨著(zhu)對(dui)(dui)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)因和(he)(he)(he)(he)(he)發(fa)(fa)(fa)病(bing)(bing)機理(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)深(shen)入(ru)(ru)研(yan)(yan)究(jiu),認識(shi)(shi)到(dao)(dao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)是(shi)(shi)(shi)一(yi)種(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)慢性(xing)(xing)(xing)(xing)(xing)(xing)(xing)炎(yan)(yan)(yan)癥(zheng),并(bing)(bing)具(ju)(ju)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)高(gao)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)特征,所(suo)(suo)(suo)以(yi)(yi)(yi)在(zai)(zai)(zai)(zai)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)防(fang)(fang)(fang)治(zhi)(zhi)方(fang)(fang)(fang)面又有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)了(le)新(xin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)概念(nian),認為(wei)(wei)(wei)單(dan)獨使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)舒張(zhang)(zhang)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)進行治(zhi)(zhi)療(liao)(liao)(liao)是(shi)(shi)(shi)不(bu)(bu)夠(gou)全(quan)面的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)。對(dui)(dui)于(yu)中(zhong)、重(zhong)度(du)(du)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan),僅僅靠規律地(di)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)舒張(zhang)(zhang)劑(ji)(ji)(ji)(ji)(ji)(ji)(如(ru)β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji))甚至有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)害(hai),因為(wei)(wei)(wei)β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)無(wu)抗(kang)炎(yan)(yan)(yan)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),單(dan)純對(dui)(dui)癥(zheng)治(zhi)(zhi)療(liao)(liao)(liao)會(hui)掩蓋炎(yan)(yan)(yan)癥(zheng)發(fa)(fa)(fa)展(zhan),使(shi)(shi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)高(gao)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing)加(jia)重(zhong),因而(er)(er)必(bi)須聯(lian)合(he)(he)(he)(he)(he)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)抗(kang)炎(yan)(yan)(yan)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)。同時(shi)(shi)為(wei)(wei)(wei)了(le)評價(jia)治(zhi)(zhi)療(liao)(liao)(liao)效(xiao)果(guo),判(pan)斷(duan)(duan) 病(bing)(bing)情(qing)程度(du)(du),決定(ding)治(zhi)(zhi)療(liao)(liao)(liao)和(he)(he)(he)(he)(he)管(guan)(guan)(guan)(guan)(guan)理(li)(li)計劃,所(suo)(suo)(suo)以(yi)(yi)(yi)務必(bi)記(ji)錄病(bing)(bing)員日記(ji),堅持(chi)(chi)家(jia)庭測量(liang)(liang)(liang)肺(fei)(fei)功(gong)能(neng)(PEF),監測氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing)變化。如(ru)果(guo)能(neng)堅持(chi)(chi)合(he)(he)(he)(he)(he)理(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)系統(tong)防(fang)(fang)(fang)治(zhi)(zhi),則(ze)(ze)(ze)大(da)(da)(da)(da)多(duo)數哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)患者(zhe)(zhe)(zhe)是(shi)(shi)(shi)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)效(xiao)控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)情(qing),并(bing)(bing)能(neng)正(zheng)(zheng)常(chang)生(sheng)(sheng)活、學習(xi)和(he)(he)(he)(he)(he)工作(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)。反(fan)(fan)復(fu)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)常(chang)因防(fang)(fang)(fang)治(zhi)(zhi)不(bu)(bu)當所(suo)(suo)(suo)致(zhi),常(chang)導致(zhi)難以(yi)(yi)(yi)逆(ni)轉的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)肺(fei)(fei)功(gong)能(neng)損害(hai)。因此,在(zai)(zai)(zai)(zai)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)防(fang)(fang)(fang)治(zhi)(zhi)工作(zuo)(zuo)(zuo)(zuo)(zuo)中(zhong),務必(bi)作(zuo)(zuo)(zuo)(zuo)(zuo)好(hao)宣教工作(zuo)(zuo)(zuo)(zuo)(zuo)、控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)環境(jing)促(cu)(cu)發(fa)(fa)(fa)因素(su)(su)(su)、監測病(bing)(bing)情(qing)和(he)(he)(he)(he)(he)系統(tong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)理(li)(li)治(zhi)(zhi)療(liao)(liao)(liao)。 (一(yi))教育患者(zhe)(zhe)(zhe) 使(shi)(shi)醫(yi)護人員、患者(zhe)(zhe)(zhe)和(he)(he)(he)(he)(he)家(jia)屬不(bu)(bu)斷(duan)(duan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)作(zuo)(zuo)(zuo)(zuo)(zuo),讓患者(zhe)(zhe)(zhe)對(dui)(dui)本病(bing)(bing)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)較(jiao)(jiao)正(zheng)(zheng)確(que)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)認識(shi)(shi),增(zeng)(zeng)(zeng)強信心,自覺與(yu)醫(yi)生(sheng)(sheng)配(pei)(pei)合(he)(he)(he)(he)(he),堅持(chi)(chi)記(ji)錄病(bing)(bing)員日記(ji)、家(jia)庭監測肺(fei)(fei)功(gong)能(neng),定(ding)期(qi)(qi)來院隨訪(fang),接(jie)受(shou)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)診斷(duan)(duan)和(he)(he)(he)(he)(he)最(zui)新(xin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)預(yu)(yu)(yu)防(fang)(fang)(fang)、治(zhi)(zhi)療(liao)(liao)(liao)方(fang)(fang)(fang)法(fa)。 (二)控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)環境(jing)促(cu)(cu)發(fa)(fa)(fa)因素(su)(su)(su) 主(zhu)要(yao)(yao)是(shi)(shi)(shi)確(que)定(ding)、控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)并(bing)(bing)避免接(jie)觸各種(zhong)變應原、職業致(zhi)敏(min)物(wu)(wu)和(he)(he)(he)(he)(he)其它非(fei)(fei)特異(yi)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)刺(ci)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)因素(su)(su)(su)。 (三)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)治(zhi)(zhi)療(liao)(liao)(liao) 應分(fen)(fen)別(bie)制(zhi)(zhi)(zhi)(zhi)(zhi)定(ding)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)長(chang)(chang)期(qi)(qi)管(guan)(guan)(guan)(guan)(guan)理(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)計劃和(he)(he)(he)(he)(he)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)期(qi)(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)處(chu)理(li)(li)。治(zhi)(zhi)療(liao)(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)目的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主(zhu)要(yao)(yao)是(shi)(shi)(shi)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)炎(yan)(yan)(yan)癥(zheng),降(jiang)低(di)(di)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)高(gao)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing),達到(dao)(dao)控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)癥(zheng)狀,預(yu)(yu)(yu)防(fang)(fang)(fang)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo),維(wei)(wei)持(chi)(chi)正(zheng)(zheng)常(chang)肺(fei)(fei)功(gong)能(neng),保障正(zheng)(zheng)常(chang)活動(dong)(dong),PEF的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)晝(zhou)夜(ye)變異(yi)率低(di)(di)于(yu)20%。藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)治(zhi)(zhi)療(liao)(liao)(liao)不(bu)(bu)但(dan)(dan)要(yao)(yao)個(ge)體(ti)化,而(er)(er)且(qie)應隨時(shi)(shi)調(diao)整(zheng),按病(bing)(bing)情(qing)程度(du)(du)做到(dao)(dao)階(jie)梯式(shi)治(zhi)(zhi)療(liao)(liao)(liao),做到(dao)(dao)系統(tong)合(he)(he)(he)(he)(he)理(li)(li)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)最(zui)終能(neng)不(bu)(bu)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)或(huo)(huo)(huo)(huo)最(zui)少(shao)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)地(di)按需(xu)(xu)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)、甲(jia)基(ji)黃嘌呤和(he)(he)(he)(he)(he)抗(kang)膽堿(jian)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)等支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)舒張(zhang)(zhang)劑(ji)(ji)(ji)(ji)(ji)(ji)。在(zai)(zai)(zai)(zai)給藥(yao)(yao)(yao)(yao)(yao)途徑(jing)方(fang)(fang)(fang)面以(yi)(yi)(yi)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)療(liao)(liao)(liao)法(fa)優(you)(you)于(yu)全(quan)身(shen)(shen)注射(she)或(huo)(huo)(huo)(huo)口(kou)(kou)(kou)(kou)(kou)服(fu)治(zhi)(zhi)療(liao)(liao)(liao),前(qian)(qian)者(zhe)(zhe)(zhe)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)優(you)(you)點是(shi)(shi)(shi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)內(nei)(nei)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)濃(nong)(nong)度(du)(du)高(gao)、用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)少(shao),全(quan)身(shen)(shen)無(wu)或(huo)(huo)(huo)(huo)極少(shao)不(bu)(bu)良反(fan)(fan)應。在(zai)(zai)(zai)(zai)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)療(liao)(liao)(liao)法(fa)中(zhong)現(xian)(xian)(xian)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)定(ding)量(liang)(liang)(liang)型氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)霧(wu)(wu)劑(ji)(ji)(ji)(ji)(ji)(ji)(MDI)、干粉(fen)劑(ji)(ji)(ji)(ji)(ji)(ji)和(he)(he)(he)(he)(he)霧(wu)(wu)化溶液(ye)等給藥(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)法(fa),霧(wu)(wu)化吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)多(duo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)于(yu)急(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)嚴(yan)重(zhong)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)患者(zhe)(zhe)(zhe),也可(ke)(ke)(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)于(yu)5歲以(yi)(yi)(yi)下的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)兒童(tong)和(he)(he)(he)(he)(he)某(mou)些發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)較(jiao)(jiao)重(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)。若掌握(wo)(wo)定(ding)量(liang)(liang)(liang)型氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)霧(wu)(wu)劑(ji)(ji)(ji)(ji)(ji)(ji)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)困難的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)患者(zhe)(zhe)(zhe),則(ze)(ze)(ze)可(ke)(ke)(ke)(ke)(ke)配(pei)(pei)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)儲霧(wu)(wu)器(qi)裝置,改善支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)舒張(zhang)(zhang)劑(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru),提(ti)(ti)(ti)高(gao)臨(lin)(lin)(lin)床(chuang)療(liao)(liao)(liao)效(xiao),降(jiang)低(di)(di)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)可(ke)(ke)(ke)(ke)(ke)能(neng)發(fa)(fa)(fa)生(sheng)(sheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)良反(fan)(fan)應。干粉(fen)劑(ji)(ji)(ji)(ji)(ji)(ji)配(pei)(pei)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)關吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)器(qi)后(hou),則(ze)(ze)(ze)效(xiao)果(guo)顯(xian)著(zhu),方(fang)(fang)(fang)法(fa)簡便,易于(yu)掌握(wo)(wo)。 1.糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su) 糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)是(shi)(shi)(shi)目前(qian)(qian)治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)最(zui)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)效(xiao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)抗(kang)炎(yan)(yan)(yan)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu),在(zai)(zai)(zai)(zai)治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)中(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)確(que)切作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)機制(zhi)(zhi)(zhi)(zhi)(zhi)還不(bu)(bu)完全(quan)清(qing)楚,其主(zhu)要(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you):抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)花生(sheng)(sheng)四(si)烯酸(suan)(suan)(suan)(suan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)代(dai)謝,減(jian)(jian)(jian)(jian)少(shao)白三烯和(he)(he)(he)(he)(he)前(qian)(qian)列腺(xian)素(su)(su)(su)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)成;促(cu)(cu)使(shi)(shi)小血管(guan)(guan)(guan)(guan)(guan)收(shou)(shou)縮(suo)(suo),增(zeng)(zeng)(zeng)高(gao)其內(nei)(nei)皮(pi)(pi)(pi)(pi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)緊密(mi)度(du)(du),減(jian)(jian)(jian)(jian)少(shao)血管(guan)(guan)(guan)(guan)(guan)滲漏;抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)炎(yan)(yan)(yan)癥(zheng)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)定(ding)向移動(dong)(dong);活化并(bing)(bing)提(ti)(ti)(ti)高(gao)呼吸(xi)(xi)(xi)(xi)(xi)(xi)道(dao)(dao)平滑(hua)肌(ji)β受(shou)體(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing);阻止(zhi)(zhi)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)因子(zi)生(sheng)(sheng)成;抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)組(zu)胺(an)(an)酸(suan)(suan)(suan)(suan)脫(tuo)羧(suo)酶(mei),減(jian)(jian)(jian)(jian)少(shao)組(zu)胺(an)(an)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)形(xing)成;增(zeng)(zeng)(zeng)加(jia)PGE受(shou)體(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)數量(liang)(liang)(liang);抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)腺(xian)體(ti)中(zhong)酸(suan)(suan)(suan)(suan)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)粘多(duo)糖(tang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)合(he)(he)(he)(he)(he)成;減(jian)(jian)(jian)(jian)少(shao)血漿(jiang)素(su)(su)(su)原激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)活劑(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)釋放及彈性(xing)(xing)(xing)(xing)(xing)(xing)(xing)蛋白酶(mei)和(he)(he)(he)(he)(he)膠原酶(mei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)分(fen)(fen)泌等。糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)全(quan)身(shen)(shen)給藥(yao)(yao)(yao)(yao)(yao)或(huo)(huo)(huo)(huo)經(jing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)給藥(yao)(yao)(yao)(yao)(yao),在(zai)(zai)(zai)(zai)急(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)嚴(yan)重(zhong)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)早期(qi)(qi),口(kou)(kou)(kou)(kou)(kou)服(fu)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)可(ke)(ke)(ke)(ke)(ke)防(fang)(fang)(fang)止(zhi)(zhi)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)加(jia)重(zhong);在(zai)(zai)(zai)(zai)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)持(chi)(chi)續狀態時(shi)(shi)則(ze)(ze)(ze)需(xu)(xu)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)大(da)(da)(da)(da)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)作(zuo)(zuo)(zuo)(zuo)(zuo)短期(qi)(qi)全(quan)身(shen)(shen)給藥(yao)(yao)(yao)(yao)(yao)。長(chang)(chang)期(qi)(qi)小劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)或(huo)(huo)(huo)(huo)短期(qi)(qi)大(da)(da)(da)(da)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)對(dui)(dui)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)長(chang)(chang)期(qi)(qi)治(zhi)(zhi)療(liao)(liao)(liao)安全(quan)而(er)(er)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)效(xiao),長(chang)(chang)期(qi)(qi)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)大(da)(da)(da)(da)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)對(dui)(dui)治(zhi)(zhi)療(liao)(liao)(liao)慢性(xing)(xing)(xing)(xing)(xing)(xing)(xing)嚴(yan)重(zhong)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)是(shi)(shi)(shi)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de),可(ke)(ke)(ke)(ke)(ke)減(jian)(jian)(jian)(jian)少(shao)長(chang)(chang)期(qi)(qi)口(kou)(kou)(kou)(kou)(kou)服(fu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang),并(bing)(bing)且(qie)明(ming)顯(xian)地(di)減(jian)(jian)(jian)(jian)少(shao)全(quan)身(shen)(shen)副(fu)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)研(yan)(yan)究(jiu)提(ti)(ti)(ti)示,一(yi)天吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)大(da)(da)(da)(da)于(yu)1mg的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)二丙(bing)酸(suan)(suan)(suan)(suan)培氯松(song)(song)(BDP)或(huo)(huo)(huo)(huo)相應的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)就(jiu)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)可(ke)(ke)(ke)(ke)(ke)能(neng)發(fa)(fa)(fa)生(sheng)(sheng)全(quan)身(shen)(shen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)良反(fan)(fan)應。吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)局部(bu)(bu)副(fu)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)為(wei)(wei)(wei):口(kou)(kou)(kou)(kou)(kou)咽(yan)部(bu)(bu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)念(nian)珠(zhu)菌感(gan)(gan)染、發(fa)(fa)(fa)音困難和(he)(he)(he)(he)(he)偶爾出(chu)現(xian)(xian)(xian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)上(shang)呼吸(xi)(xi)(xi)(xi)(xi)(xi)道(dao)(dao)刺(ci)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)咳嗽,但(dan)(dan)在(zai)(zai)(zai)(zai)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)MDI時(shi)(shi)配(pei)(pei)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)儲霧(wu)(wu)器(qi),或(huo)(huo)(huo)(huo)改用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)干粉(fen)劑(ji)(ji)(ji)(ji)(ji)(ji)后(hou)則(ze)(ze)(ze)可(ke)(ke)(ke)(ke)(ke)防(fang)(fang)(fang)止(zhi)(zhi)或(huo)(huo)(huo)(huo)減(jian)(jian)(jian)(jian)輕對(dui)(dui)上(shang)述(shu)副(fu)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),吸(xi)(xi)(xi)(xi)(xi)(xi)藥(yao)(yao)(yao)(yao)(yao)后(hou)漱口(kou)(kou)(kou)(kou)(kou)可(ke)(ke)(ke)(ke)(ke)預(yu)(yu)(yu)防(fang)(fang)(fang)口(kou)(kou)(kou)(kou)(kou)腔念(nian)珠(zhu)菌感(gan)(gan)染。現(xian)(xian)(xian)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)MDI和(he)(he)(he)(he)(he)干粉(fen)劑(ji)(ji)(ji)(ji)(ji)(ji)所(suo)(suo)(suo)含的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)培氯米松(song)(song)日丙(bing)酸(suan)(suan)(suan)(suan)脂(二丙(bing)酸(suan)(suan)(suan)(suan)培氯松(song)(song))和(he)(he)(he)(he)(he)丁地(di)去炎(yan)(yan)(yan)松(song)(song)(布(bu)地(di)縮(suo)(suo)松(song)(song)),成人的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)為(wei)(wei)(wei)400~800?0?8g/d。 2.色甘(gan)(gan)酸(suan)(suan)(suan)(suan)鈉 是(shi)(shi)(shi)一(yi)種(zhong)治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)非(fei)(fei)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)類吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)型的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)抗(kang)炎(yan)(yan)(yan)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu),其確(que)切的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)機理(li)(li)還不(bu)(bu)完全(quan)了(le)解,已知(zhi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)是(shi)(shi)(shi)以(yi)(yi)(yi)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)依(yi)賴形(xing)式(shi)可(ke)(ke)(ke)(ke)(ke)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)人類部(bu)(bu)分(fen)(fen)肥(fei)(fei)大(da)(da)(da)(da)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)IgE介(jie)導的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)釋放;對(dui)(dui)肺(fei)(fei)泡巨(ju)噬細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)、嗜(shi)酸(suan)(suan)(suan)(suan)粒細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)、中(zhong)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)粒細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)和(he)(he)(he)(he)(he)單(dan)核細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)等炎(yan)(yan)(yan)癥(zheng)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)具(ju)(ju)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)選(xuan)擇(ze)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)和(he)(he)(he)(he)(he)介(jie)質(zhi)(zhi)(zhi)(zhi)(zhi)選(xuan)擇(ze)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong);降(jiang)低(di)(di)呼吸(xi)(xi)(xi)(xi)(xi)(xi)道(dao)(dao)末梢(shao)感(gan)(gan)受(shou)器(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)興(xing)奮性(xing)(xing)(xing)(xing)(xing)(xing)(xing)或(huo)(huo)(huo)(huo)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)迷走神經(jing)反(fan)(fan)射(she)弧的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)傳入(ru)(ru)支(zhi),對(dui)(dui)IAR和(he)(he)(he)(he)(he)LAR均(jun)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)預(yu)(yu)(yu)防(fang)(fang)(fang)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)色甘(gan)(gan)酸(suan)(suan)(suan)(suan)鈉后(hou)可(ke)(ke)(ke)(ke)(ke)減(jian)(jian)(jian)(jian)少(shao)或(huo)(huo)(huo)(huo)撤除患者(zhe)(zhe)(zhe)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)。為(wei)(wei)(wei)預(yu)(yu)(yu)防(fang)(fang)(fang)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)季(ji)節性(xing)(xing)(xing)(xing)(xing)(xing)(xing)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo),則(ze)(ze)(ze)應在(zai)(zai)(zai)(zai)好(hao)發(fa)(fa)(fa)季(ji)節前(qian)(qian)作(zuo)(zuo)(zuo)(zuo)(zuo)預(yu)(yu)(yu)防(fang)(fang)(fang)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)治(zhi)(zhi)療(liao)(liao)(liao),每(mei)次(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)20mg,每(mei)日3~4次(ci)(ci),停(ting)(ting)藥(yao)(yao)(yao)(yao)(yao)不(bu)(bu)要(yao)(yao)過早,經(jing)4~6周治(zhi)(zhi)療(liao)(liao)(liao)后(hou)無(wu)效(xiao)者(zhe)(zhe)(zhe)可(ke)(ke)(ke)(ke)(ke)停(ting)(ting)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。 3.β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji) 具(ju)(ju)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)舒張(zhang)(zhang)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)平滑(hua)肌(ji),增(zeng)(zeng)(zeng)強粘膜(mo)纖(xian)毛的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)清(qing)除活動(dong)(dong),降(jiang)低(di)(di)血管(guan)(guan)(guan)(guan)(guan)通(tong)透(tou)性(xing)(xing)(xing)(xing)(xing)(xing)(xing),并(bing)(bing)可(ke)(ke)(ke)(ke)(ke)調(diao)節肥(fei)(fei)大(da)(da)(da)(da)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)和(he)(he)(he)(he)(he)嗜(shi)堿(jian)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)介(jie)質(zhi)(zhi)(zhi)(zhi)(zhi)釋放。該(gai)類藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)治(zhi)(zhi)療(liao)(liao)(liao)IAR效(xiao)果(guo)顯(xian)著(zhu),而(er)(er)對(dui)(dui)LAR無(wu)效(xiao)。短效(xiao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)型β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)是(shi)(shi)(shi)治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)急(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)和(he)(he)(he)(he)(he)預(yu)(yu)(yu)防(fang)(fang)(fang)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)治(zhi)(zhi)療(liao)(liao)(liao)運動(dong)(dong)誘發(fa)(fa)(fa)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)首選(xuan)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)。新(xin)型的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)長(chang)(chang)效(xiao)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)型β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)formoterol和(he)(he)(he)(he)(he)施(shi)立穩(wen)可(ke)(ke)(ke)(ke)(ke)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)抗(kang)原誘導的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)速發(fa)(fa)(fa)和(he)(he)(he)(he)(he)遲(chi)發(fa)(fa)(fa)反(fan)(fan)應及組(zu)胺(an)(an)誘導的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)反(fan)(fan)應性(xing)(xing)(xing)(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)增(zeng)(zeng)(zeng)高(gao),但(dan)(dan)檢查血和(he)(he)(he)(he)(he)痰則(ze)(ze)(ze)其炎(yan)(yan)(yan)癥(zheng)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)反(fan)(fan)應并(bing)(bing)不(bu)(bu)降(jiang)低(di)(di)。 答案補充 長(chang)(chang)期(qi)(qi)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)規律應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)β-激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)可(ke)(ke)(ke)(ke)(ke)導致(zhi)患者(zhe)(zhe)(zhe)β2受(shou)體(ti)脫(tuo)敏(min)、減(jian)(jian)(jian)(jian)量(liang)(liang)(liang)調(diao)節,會(hui)增(zeng)(zeng)(zeng)加(jia)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)次(ci)(ci)數。因此,現(xian)(xian)(xian)認為(wei)(wei)(wei)不(bu)(bu)應長(chang)(chang)期(qi)(qi)、規律應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)。如(ru)果(guo)需(xu)(xu)長(chang)(chang)期(qi)(qi)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)者(zhe)(zhe)(zhe),宜聯(lian)合(he)(he)(he)(he)(he)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su)、Nedocromil Sodium或(huo)(huo)(huo)(huo)異(yi)丙(bing)托溴(xiu)銨(溴(xiu)化異(yi)丙(bing)托品(pin))等,以(yi)(yi)(yi)預(yu)(yu)(yu)防(fang)(fang)(fang)β2受(shou)體(ti)脫(tuo)敏(min)和(he)(he)(he)(he)(he)減(jian)(jian)(jian)(jian)量(liang)(liang)(liang)調(diao)節。β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)緩(huan)釋和(he)(he)(he)(he)(he)控(kong)(kong)釋口(kou)(kou)(kou)(kou)(kou)服(fu)劑(ji)(ji)(ji)(ji)(ji)(ji)可(ke)(ke)(ke)(ke)(ke)明(ming)顯(xian)延長(chang)(chang)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)維(wei)(wei)持(chi)(chi)時(shi)(shi)間,并(bing)(bing)能(neng)較(jiao)(jiao)好(hao)地(di)維(wei)(wei)持(chi)(chi)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)效(xiao)血藥(yao)(yao)(yao)(yao)(yao)濃(nong)(nong)度(du)(du),故常(chang)選(xuan)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)于(yu)夜(ye)間哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)發(fa)(fa)(fa)作(zuo)(zuo)(zuo)(zuo)(zuo)患者(zhe)(zhe)(zhe)。 4.黃嘌呤類藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu) 氨(an)茶(cha)(cha)(cha)堿(jian)解除支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)痙攣(luan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)已為(wei)(wei)(wei)半(ban)個(ge)多(duo)世紀的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)實(shi)(shi)踐所(suo)(suo)(suo)證實(shi)(shi),對(dui)(dui)其作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)機理(li)(li)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)認識(shi)(shi)在(zai)(zai)(zai)(zai)不(bu)(bu)斷(duan)(duan)深(shen)入(ru)(ru)。傳統(tong)認為(wei)(wei)(wei)茶(cha)(cha)(cha)堿(jian)是(shi)(shi)(shi)通(tong)過抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)磷酸(suan)(suan)(suan)(suan)二酯PDE),減(jian)(jian)(jian)(jian)少(shao)C-AMP的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)水(shui)(shui)解而(er)(er)起(qi)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong) 。但(dan)(dan)現(xian)(xian)(xian)已證明(ming),試管(guan)(guan)(guan)(guan)(guan)內(nei)(nei)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)PDE所(suo)(suo)(suo)需(xu)(xu)茶(cha)(cha)(cha)堿(jian)濃(nong)(nong)度(du)(du)遠遠高(gao)于(yu)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)效(xiao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)血漿(jiang)茶(cha)(cha)(cha)堿(jian)濃(nong)(nong)度(du)(du),故難以(yi)(yi)(yi)完全(quan)按此機理(li)(li)解釋。研(yan)(yan)究(jiu)表(biao)明(ming),茶(cha)(cha)(cha)堿(jian)能(neng)穩(wen)定(ding)和(he)(he)(he)(he)(he)抑(yi)制(zhi)(zhi)(zhi)(zhi)(zhi)肥(fei)(fei)大(da)(da)(da)(da)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)、嗜(shi)堿(jian)粒細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)、中(zhong)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)粒細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)和(he)(he)(he)(he)(he)巨(ju)噬細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao),能(neng)拮抗(kang)腺(xian)苷引(yin)起(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)痙攣(luan),能(neng)刺(ci)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)腎上(shang)腺(xian)髓質(zhi)(zhi)(zhi)(zhi)(zhi)和(he)(he)(he)(he)(he)腎上(shang)腺(xian)以(yi)(yi)(yi)外的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)嗜(shi)鉻(ge)細(xi)(xi)(xi)(xi)胞(bao)(bao)(bao)(bao)釋放兒茶(cha)(cha)(cha)酚胺(an)(an),能(neng)增(zeng)(zeng)(zeng)加(jia)健康或(huo)(huo)(huo)(huo)疲勞的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)膈肌(ji)對(dui)(dui)低(di)(di)頻刺(ci)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)收(shou)(shou)縮(suo)(suo)力。而(er)(er)且(qie)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)越來越多(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)證據表(biao)明(ming)茶(cha)(cha)(cha)堿(jian)不(bu)(bu)僅有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)擴張(zhang)(zhang)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),還具(ju)(ju)有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)抗(kang)炎(yan)(yan)(yan)和(he)(he)(he)(he)(he)免疫(yi)調(diao)節作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。現(xian)(xian)(xian)發(fa)(fa)(fa)現(xian)(xian)(xian)血漿(jiang)茶(cha)(cha)(cha)堿(jian)濃(nong)(nong)度(du)(du)尚(shang)未(wei)達到(dao)(dao)擴張(zhang)(zhang)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)所(suo)(suo)(suo)需(xu)(xu)要(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)水(shui)(shui)平時(shi)(shi)就(jiu)可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)(yi)出(chu)現(xian)(xian)(xian)顯(xian)著(zhu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)抗(kang)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong), 答案補充 因此推薦治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)血漿(jiang)茶(cha)(cha)(cha)堿(jian)濃(nong)(nong)度(du)(du)設置在(zai)(zai)(zai)(zai)5~10mg/L,而(er)(er)不(bu)(bu)10~20mg/L,由此可(ke)(ke)(ke)(ke)(ke)明(ming)顯(xian)減(jian)(jian)(jian)(jian)少(shao)其副(fu)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)作(zuo)(zuo)(zuo)(zuo)(zuo)者(zhe)(zhe)(zhe)提(ti)(ti)(ti)出(chu)臨(lin)(lin)(lin)床(chuang)上(shang)治(zhi)(zhi)療(liao)(liao)(liao)哮(xiao)(xiao)(xiao)(xiao)喘(chuan)(chuan)(chuan)在(zai)(zai)(zai)(zai)早期(qi)(qi)階(jie)段就(jiu)應口(kou)(kou)(kou)(kou)(kou)服(fu)茶(cha)(cha)(cha)堿(jian),同時(shi)(shi)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)低(di)(di)劑(ji)(ji)(ji)(ji)(ji)(ji)量(liang)(liang)(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)糖(tang)皮(pi)(pi)(pi)(pi)質(zhi)(zhi)(zhi)(zhi)(zhi)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)素(su)(su)(su),以(yi)(yi)(yi)此作(zuo)(zuo)(zuo)(zuo)(zuo)為(wei)(wei)(wei)一(yi)個(ge)基(ji)本用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)案。目前(qian)(qian)國內(nei)(nei)已有(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)(you)茶(cha)(cha)(cha)堿(jian)緩(huan)釋或(huo)(huo)(huo)(huo)控(kong)(kong)制(zhi)(zhi)(zhi)(zhi)(zhi)制(zhi)(zhi)(zhi)(zhi)(zhi)劑(ji)(ji)(ji)(ji)(ji)(ji),每(mei)日口(kou)(kou)(kou)(kou)(kou)服(fu)1~2次(ci)(ci),可(ke)(ke)(ke)(ke)(ke)使(shi)(shi)血漿(jiang)茶(cha)(cha)(cha)堿(jian)濃(nong)(nong)度(du)(du)穩(wen)定(ding)在(zai)(zai)(zai)(zai)5~10mg/L。 5.抗(kang)膽堿(jian)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu) 吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)型抗(kang)膽堿(jian)藥(yao)(yao)(yao)(yao)(yao)物(wu)(wu)(異(yi)丙(bing)托溴(xiu)銨,ipratropium bromide)可(ke)(ke)(ke)(ke)(ke)阻斷(duan)(duan)節后(hou)神經(jing)元傳出(chu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)迷走神經(jing)通(tong)路,降(jiang)低(di)(di)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)(dao)內(nei)(nei)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)迷走神經(jing)張(zhang)(zhang)力而(er)(er)擴張(zhang)(zhang)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan),也可(ke)(ke)(ke)(ke)(ke)阻斷(duan)(duan)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)刺(ci)激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)物(wu)(wu)所(suo)(suo)(suo)引(yin)起(qi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)反(fan)(fan)射(she)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)(guan)(guan)(guan)(guan)收(shou)(shou)縮(suo)(suo)。該(gai)藥(yao)(yao)(yao)(yao)(yao)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)治(zhi)(zhi)療(liao)(liao)(liao)雖起(qi)效(xiao)較(jiao)(jiao)慢,但(dan)(dan)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)較(jiao)(jiao)持(chi)(chi)久,長(chang)(chang)期(qi)(qi)給藥(yao)(yao)(yao)(yao)(yao)尚(shang)未(wei)發(fa)(fa)(fa)現(xian)(xian)(xian)耐藥(yao)(yao)(yao)(yao)(yao)性(xing)(xing)(xing)(xing)(xing)(xing)(xing),如(ru)與(yu)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)型β2激(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)(ji)動(dong)(dong)劑(ji)(ji)(ji)(ji)(ji)(ji)合(he)(he)(he)(he)(he)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),則(ze)(ze)(ze)可(ke)(ke)(ke)(ke)(ke)提(ti)(ti)(ti)高(gao)其臨(lin)(lin)(lin)床(chuang)效(xiao)果(guo)。常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)為(wei)(wei)(wei)每(mei)次(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)20~80?0?8g,每(mei)日3~4次(ci)(ci)。

哮喘病人頸動脈堵塞怎么辦

偏方
1.用春天起蒜時的嫩蒜60頭到90頭洗干凈,用蜂蜜浸泡封好后保存6個月,等到秋冬時打開食用,每天吃一頭。
2.柚子100-200克。將柚子生食,即可。連服1周。常吃可預防哮喘。
3.截喘湯
組成:佛耳草15克,碧桃干15克,老鸛草15克,旋覆花10克,全瓜蔞10克,姜半夏10克,防風10克,五味子6克。
功能:降逆納氣,化痰截喘。
主治:支氣管哮喘,咳嗽痰多,氣逆喘促。

平時還可(ke)以喝 咁唄草更好(hao)的控制 潤肺止(zhi)咳,生津平喘

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