首页|非嗜酸性粒细胞哮喘诊治进展

非嗜酸性粒细胞哮喘诊治进展

扫码查看
哮喘是全球最常见的慢性呼吸系统疾病之一,非嗜酸性粒细胞哮喘(non-eosinophilicasthma,NEA)是哮喘的一种特殊表型,其气道炎症的特征是细胞浸润以中性粒细胞为主,缺乏嗜酸性粒细胞.NEA发病与环境及宿主因素均有关,例如职业暴露、环境污染、吸烟、感染和肥胖,上述风险因素单独或联合作用可以激活特定的细胞和分子途径,导致NEA发生.NEA的临床特征是对标准哮喘治疗的反应不佳,尤其是对吸入性皮质类固醇,导致疾病更严重和难以控制的哮喘.虽然NEA不是最普遍的哮喘表型,但重度哮喘患者中NEA比例高,其重要性不容忽视.本文就近年来NEA的流行病学现状、致病因素、发病机制和治疗现状作一综述.
Research progress in the diagnosis and treatment of non-eosinophilic asthma
Asthma is one of the most common chronic respiratory diseases in the world.Non-eosinophilic asthma(NEA)is a special type of asthma.NEA is characterized by airway inflammation with the absence of eosinophils,and the cellular infiltration is dominated by neutrophils.NEA is associated with environmental and host factors,such as occupational exposure,environmental pollution,smok-ing,infection,and obesity,which can,alone or in combination,activate specific cellular and molecular pathways to result in NEA.NEA features a poor response to standard asthma treatments,especially inhaled corticosteroids,which can lead to more serious and unman-ageable asthma.Although NEA is not the most common type of asthma,it cannot be ignored because of a high proportion in patients with severe asthma.This article reviews the epidemiology,pathogenic factors,pathogenesis,and treatment of NEA in recent years.

asthmanon-eosinophilicdiagnosistreatment

张心悦、邵子建、练康、吴德美、袁斌、吴芳、唐兰芳

展开 >

浙江大学医学院附属儿童医院中医科、国家儿童健康与疾病临床医学研究中心,杭州 310005

南京中医药大学第一临床医学院、南京中医药大学附属医院儿科,南京 210028

浙江大学医学院附属儿童医院呼吸内科、国家儿童健康与疾病临床医学研究中心,杭州 310005

哮喘 非嗜酸性粒细胞型 诊断 治疗

国家自然科学基金国家自然科学基金浙江省科技计划

82070028818733402023C3042

2024

重庆医科大学学报
重庆医科大学

重庆医科大学学报

CSTPCD北大核心
影响因子:0.724
ISSN:0253-3626
年,卷(期):2024.49(1)
  • 72