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咳嗽管理的潜在未来疗法:美国胸科医师学会循证临床实践指南

Potential future therapies for the management of cough: ACCP evidence-based clinical practice guidelines.

作者信息

Dicpinigaitis Peter V

出版信息

Chest. 2006 Jan;129(1 Suppl):284S-286S. doi: 10.1378/chest.129.1_suppl.284S.

DOI:10.1378/chest.129.1_suppl.284S
PMID:16428720
Abstract

BACKGROUND

When the etiology of a patient's chronic cough is established, specific antitussive therapy that is aimed at a particular cause of cough is highly effective. Nevertheless, in certain situations, therapy with cough suppressants, which previously were classified as nonspecific antitussive therapy, and which aim at suppressing the cough reflex regardless of the cause of cough, will be necessary.

METHODOLOGY

The data for this review were obtained with the aid of a National Library of Medicine (PubMed) search, which was performed in June 2004, of literature published in the English language from 1966 to 2004, using the search terms "cough," "antitussive," "pharmacotherapy," "future therapies, " and "potential therapies."

RESULTS/CONCLUSIONS: Currently available cough-suppressant therapy is severely limited by a dearth of effective agents and/or their unacceptable side effects. Several classes of pharmacologic agents are currently under investigation in an attempt to develop clinically useful cough suppressants.

摘要

背景

当确定患者慢性咳嗽的病因后,针对特定咳嗽病因的特异性镇咳治疗非常有效。然而,在某些情况下,使用止咳药进行治疗是必要的,止咳药以前被归类为非特异性镇咳治疗,其目的是抑制咳嗽反射,而不考虑咳嗽的原因。

方法

本综述的数据借助美国国立医学图书馆(PubMed)检索获得,检索于2004年6月进行,检索1966年至2004年以英文发表的文献,使用的检索词为“咳嗽”、“镇咳”、“药物治疗”、“未来治疗”和“潜在治疗”。

结果/结论:目前可用的止咳治疗因有效药物匮乏和/或其不可接受的副作用而受到严重限制。目前正在研究几类药物,试图开发出临床上有用的止咳药。

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Potential future therapies for the management of cough: ACCP evidence-based clinical practice guidelines.咳嗽管理的潜在未来疗法:美国胸科医师学会循证临床实践指南
Chest. 2006 Jan;129(1 Suppl):284S-286S. doi: 10.1378/chest.129.1_suppl.284S.
2
Cough suppressant and pharmacologic protussive therapy: ACCP evidence-based clinical practice guidelines.止咳与药物性镇咳治疗:美国胸科医师学会循证临床实践指南
Chest. 2006 Jan;129(1 Suppl):238S-249S. doi: 10.1378/chest.129.1_suppl.238S.
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Codeine: A Relook at the Old Antitussive.可待因:对一种老牌镇咳药的重新审视。
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Currently available antitussives.目前可用的镇咳药。
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Antitussive effect of nociceptin/orphanin FQ in experimental cough models.孤啡肽在实验性咳嗽模型中的镇咳作用。
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Future directions in treating cough.治疗咳嗽的未来方向。
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Treatment of persistent dry cough: if possible, treat the cause; if not, treat the cough.持续性干咳的治疗:若有可能,治疗病因;若无法治疗病因,则治疗咳嗽。
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Cough guidelines choke on evidence.咳嗽指南因证据不足而受阻。
Lancet. 2006 Jan 28;367(9507):276. doi: 10.1016/S0140-6736(06)68045-8.
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Clinical cough VI: the need for new therapies for cough: disease-specific and symptom-related antitussives.临床咳嗽VI:咳嗽新疗法的需求:针对特定疾病和症状的镇咳药
Handb Exp Pharmacol. 2009(187):343-68. doi: 10.1007/978-3-540-79842-2_18.
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Potential new cough therapies.潜在的新型咳嗽治疗方法。
Pulm Pharmacol Ther. 2004;17(6):459-62. doi: 10.1016/j.pupt.2004.09.010.

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Acute cough: a diagnostic and therapeutic challenge.急性咳嗽:一项诊断与治疗的挑战。
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Peripheral mechanisms II: the pharmacology of peripherally active antitussive drugs.外周机制II:外周活性镇咳药的药理学
Handb Exp Pharmacol. 2009;187(187):155-86. doi: 10.1007/978-3-540-79842-2_8.
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Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines.咳嗽的诊断与管理执行摘要:美国胸科医师学会循证临床实践指南
Chest. 2006 Jan;129(1 Suppl):1S-23S. doi: 10.1378/chest.129.1_suppl.1S.