Lokshin B, Lindgren S, Weinberger M, Koviach J
Pediatric Allergy & Pulmonary Division, University of Missouri Hospital, Columbia.
Ann Allergy. 1991 Dec;67(6):579-82.
Nine patients with habit cough, initially misdiagnosed as asthma, were treated during a period of sustained repetitive symptoms with a brief session of suggestion therapy. Symptoms had previously been present for up to 2 years (median = 2 months). Five had been hospitalized for the cough. Evaluation revealed no physiologic or radiologic abnormality. All patients became symptom free during a 15-minute session of suggestion therapy. During the subsequent week, one remained completely asymptomatic and 8 had transient minor relapses that were readily self-controlled. Seven of the 9 could be contacted for determination of long-term outcome at periods up to 9 years (median 2.2 years) after the session. Six were totally asymptomatic; one had occasional minor self-controlled symptoms. A standardized questionnaire assessing psychologic symptoms at the time of follow-up revealed no somatization nor emotional distress. In contrast to this apparent cure, others have reported extended periods of continued symptoms in the absence of a uniform treatment plan for suggestion therapy even though the correct diagnosis was made. We conclude that the classical habit cough syndrome is amenable to immediate relief and long-term cure in most cases with a single session of appropriate suggestion therapy.
9例习惯性咳嗽患者最初被误诊为哮喘，在持续反复出现症状期间接受了简短的暗示疗法治疗。症状此前已出现长达2年（中位数为2个月）。其中5例因咳嗽住院。评估显示无生理或放射学异常。所有患者在15分钟的暗示疗法治疗期间症状消失。在随后的一周内，1例完全无症状，8例有短暂的轻微复发，但易于自我控制。9例中有7例在治疗后长达9年（中位数2.2年）的时间里可以联系到以确定长期结果。6例完全无症状；1例偶尔有轻微的自我控制症状。一份评估随访时心理症状的标准化问卷显示没有躯体化症状或情绪困扰。与这种明显的治愈情况形成对比的是，其他人报告称，即使做出了正确诊断，但由于缺乏统一的暗示疗法治疗方案，症状仍会持续很长时间。我们得出结论，在大多数情况下，经典的习惯性咳嗽综合征通过单次适当的暗示疗法即可立即缓解并长期治愈。
