Treatment for pediatric asthma?

  1.Establish partnership between doctors and patients and their families Based on the hospital’s specialized clinic, establish asthma home, asthma club, asthma association and other organizations to establish partnership with patients and their families, so that children with asthma and their relatives have a correct and comprehensive understanding of asthma control and good compliance, adhere to treatment, and communicate with problems in a timely manner.  2. Identify and reduce exposure to risk factors Many risk factors can cause acute exacerbations of asthma and are referred to as “triggers,” including allergens, viral infections, pollutants, tobacco smoke, and medications. Clinical allergen measurements and parental observation of daily life are used to identify allergens and avoid or reduce exposure to risk factors as much as possible to prevent the onset and exacerbation of asthma symptoms. Reducing the patient’s exposure to risk factors can improve asthma control and reduce the need for therapeutic drugs.  3.Establishment of asthma specialist records Establish asthma patient files, develop long-term prevention and treatment plans, and make regular (1-3 months) follow-up visits. The follow-up visits include checking the asthma diary, checking whether the aspiration technique is correct, and monitoring lung function. Assess asthma control and guide treatment.  4. Assess, treat and monitor asthma Asthma control is achieved and maintained through assessment, treatment and monitoring. Most patients are able to achieve this goal with a pharmacologic intervention strategy developed jointly by the physician and patient. The patient’s initial treatment is based on the severity of the patient’s asthma and the adjustment of the treatment plan is based on the patient’s level of asthma control, including a continuous cyclic process of accurate assessment of asthma control, continued treatment to achieve asthma control, and regular monitoring of asthma control.  The objective means of asthma control assessment is the measurement of lung function and PEF. Pulmonary function measurements can be done every 3 months if available, and patients over 5 years of age can insist on daily PEF measurements and record them in an asthma diary if available. Several clinically validated asthma control assessment tools such as C-ACT and ACQ can be used to assess the level of asthma control. As a complement to lung function, both using physicians and for patient self-assessment of asthma control, patients can complete a self-assessment of asthma control levels before or during the visit. These questionnaires are validated methods of assessing asthma control in children and improve two-way communication between physician and patient, providing objective indicators of continuous assessment and facilitating long-term monitoring.  During long-term asthma management treatment, objective methods of assessing asthma control are used whenever possible, with continuous monitoring to provide reproducible assessment metrics that allow for adjustment of treatment regimens, determination of the minimum level of treatment needed to maintain asthma control, maintenance of asthma control, and reduction of healthcare costs.