成人雷暴哮喘管理策略专家共识（2026）
本共识由中华预防医学会整合医学与预防专业委员会组织专家制定，针对雷暴哮喘的发病机制、综合预防、诊断治疗、应急响应和多部门协调等关键问题提出系统管理框架。共识强调从以治疗为主转向预防、预警和医防协同的综合策略，整合风险监测、预警、靶向干预和临床照护，以提升雷暴哮喘的防控能力。
要点
- 雷暴哮喘已从个体临床事件演变为具有流行特征的人群突发公共卫生威胁。
- 管理策略需从治疗为主转向预防、预警和医防协同的综合模式。
- 共识提出整合风险监测、预警、靶向干预与临床照护的系统框架。
核心结论
- 共识提出整合风险监测、预警、靶向干预和临床照护的系统管理框架，以提升雷暴哮喘整体防控能力。
研究设计与样本
- 由中华预防医学会整合医学与预防专业委员会组织专家制定的专家共识。
主要发现
- 雷暴哮喘事件发生频率增加，已从个体临床事件演变为具有流行特征的人群突发公共卫生威胁。
临床怎么用
- 推动多源数据驱动的协调方法，加强公共卫生系统与临床服务的联动。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
Zhonghua Yu Fang Yi Xue Za Zhi. 2026 Jul 6;60(7):1026-1039. doi: 10.3760/cma.j.cn112150-20260403-00302. ABSTRACT In recent years, thunderstorm asthma events have occurred with increasing frequency, posing significant health risks to populations in China and worldwide. These events have evolved from individual clinical episodes into population-level, abrupt public health threats with epidemic-like characteristics. To mitigate their impact, there is an urgent need to transition from a treatment-oriented approach to a comprehensive strategy emphasizing prevention, early warning, and integrated medical-public health collaboration. This expert consensus was developed by specialists organized by the Committee of Integrated Medicine and Prevention of the Chinese Preventive Medicine Association. It addresses key issues including the pathogenesis of thunderstorm asthma, comprehensive prevention, diagnosis and treatment, emergency response, and multi-sectoral coordination. Based on current evidence and practical experience, the consensus proposes a systematic management framework that integrates risk monitoring, early warning, targeted intervention, and clinical care. By promoting a coordinated, multi-source data-driven approach and strengthening the linkage between public health systems and clinical services, this consensus aims to enhance the overall capacity for prevention and response to thunderstorm asthma, and to reduce its impact on population health and healthcare systems. PMID: 42161873 | DOI: 10.3760/cma.j.cn112150-20260403-00302
引用
- 指南共识 · 哮喘：Expert consensus on management strategy of thunderstorm asthma in adults (2026)
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。