Anbar Ran D, Hall Howard R
Department of Pediatrics, University Hospital, State University of New York Upstate Medical University, Syracuse, New York 13210, USA.
J Pediatr. 2004 Feb;144(2):213-7. doi: 10.1016/j.jpeds.2003.10.041.
To better understand factors associated with the development and persistence of habit cough and to report use of self-hypnosis for this condition.
A retrospective chart review was performed for 56 children and adolescents with habit cough. Interested patients were instructed in self-hypnosis for relaxation and to help ignore the cough-triggering sensation.
The patients' mean age was 10.7 years. The cough was triggered by upper respiratory infections in 59%, asthma in 13%, exercise in 5%, and eating in 4%. Onset of the cough occurred as early as 2 years, and its average duration was 13 months (range, 2 weeks to 7 years). There was a high incidence of abdominal pain and irritable bowel syndrome in the 50% of the patients who missed more than 1 week of school because of their cough. Among the 51 patients who used hypnosis, the cough resolved during or immediately after the initial hypnosis instruction session in 78% and within 1 month in an additional 12%.
Habit cough is triggered by various physiologic conditions, related frequently to other diagnoses, and it is associated with significant school absence. Self-hypnosis offers a safe efficient treatment.
更好地了解与习惯性咳嗽的发生和持续相关的因素，并报告自我催眠在这种病症中的应用。
对56例患有习惯性咳嗽的儿童和青少年进行了回顾性病历审查。指导感兴趣的患者进行自我催眠以放松，并帮助忽略引发咳嗽的感觉。
患者的平均年龄为10.7岁。咳嗽由上呼吸道感染引发的占59%，由哮喘引发的占13%，由运动引发的占5%，由进食引发的占4%。咳嗽最早在2岁时出现，平均持续时间为13个月（范围为2周至7年）。在因咳嗽缺课超过1周的患者中，腹痛和肠易激综合征的发生率很高。在51例使用催眠的患者中，78%在初次催眠指导期间或之后咳嗽即缓解，另有12%在1个月内缓解。
习惯性咳嗽由多种生理状况引发，常与其他诊断相关，且与严重缺课有关。自我催眠提供了一种安全有效的治疗方法。
