BASIC THERAPY STEREOTYPES IN CHILDREN WITH BRONCHIAL ASTHMA IN TRANSBAIKAL REGION: SIGNIFICANT CHANGES

Abstract

The paper presents the analysis of basic therapy principles compliance with the National Programme «Bronchial Asthma in Children. Strategy of Therapy and Prevention» (2008) and its efficacy in children with different forms of bronchial asthma during 2008-2012. 312 case histories of children aged 1 to 16 years old with asthma, including 139 patients with mild, 98 with moderate and 75 with severe asthma were analyzed. The symptoms of the disease are presented by clinical index, the dynamics of functional parameters is reflected through the difference of average daily bronchial patency at the beginning and end of treatment. It was found out that chronologically by 2011 there was a tendency to use a «step-down» approach and cromones substitution for inhaled corticosteroids for the mild form of the disease both in hospital and outpatient settings. In comparison with the medications made of cromoglicic acid, the base therapy with inhaled glucocorticoids in the acute stage of the disease contributes to a statistically significant reduction of cough, shortness of breath, recovery of lung function in average by 66% over a short period of time.