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运动诱发的呼吸症状:青少年中的流行现象。

Exercise-induced respiratory symptoms: an epidemic among adolescents.

机构信息

Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.

出版信息

Ann Allergy Asthma Immunol. 2010 May;104(5):361-7; quiz 368-70, 412. doi: 10.1016/j.anai.2009.12.008.

DOI:10.1016/j.anai.2009.12.008
PMID:20486325
Abstract

OBJECTIVE

To review the most important causes of exercise-induced respiratory symptoms in adolescents.

DATA SOURCES

Published English-language medical literature.

STUDY SELECTION

Primary literature and consensus publications relevant to the objective.

RESULTS

The diagnosis and treatment of exercise-induced asthma are well characterized. Other syndromes, such as exercise-induced vocal cord dysfunction, exercise-induced paradoxical arytenoid motion, and exercise-induced hyperventilation, are relatively common but so far are described primarily in uncontrolled case reports.

CONCLUSION

Controlled studies are necessary to define efficient diagnostic and treatment algorithms for young patients experiencing respiratory symptoms during exercise who do not respond to asthma treatment.

摘要

目的

综述青少年运动诱发呼吸症状的重要病因。

资料来源

已发表的英文医学文献。

研究选择

与目的相关的主要文献和共识性出版物。

结果

运动诱发性哮喘的诊断和治疗已得到很好的描述。其他综合征,如运动诱发性声带功能障碍、运动诱发性杓状软骨反常运动和运动诱发性过度通气,较为常见,但迄今为止主要是在非对照病例报告中描述。

结论

对于运动时出现呼吸症状且哮喘治疗无效的年轻患者,有必要进行对照研究,以确定有效的诊断和治疗方案。

相似文献

1
Exercise-induced respiratory symptoms: an epidemic among adolescents.运动诱发的呼吸症状:青少年中的流行现象。
Ann Allergy Asthma Immunol. 2010 May;104(5):361-7; quiz 368-70, 412. doi: 10.1016/j.anai.2009.12.008.
2
Exercise-induced dyspnea in children and adolescents: if not asthma then what?儿童和青少年运动诱发的呼吸困难:若不是哮喘,那是什么?
Ann Allergy Asthma Immunol. 2005 Mar;94(3):366-71. doi: 10.1016/S1081-1206(10)60989-1.
3
Paradoxical vocal cord dysfunction: when a wheeze is not asthma.反常性声带功能障碍:当喘鸣并非哮喘时。
Singapore Med J. 2008 Apr;49(4):e110-2.
4
Masqueraders of exercise-induced vocal cord dysfunction.运动诱发性声带功能障碍的伪装者
J Allergy Clin Immunol. 2009 Aug;124(2):377-8, 378.e1-3. doi: 10.1016/j.jaci.2009.03.026. Epub 2009 May 27.
5
Etiology of exercise-induced dyspnea: not just exercise-induced asthma or vocal cord dysfunction.运动诱发性呼吸困难的病因:不只是运动性哮喘或声带功能障碍。
J Allergy Clin Immunol. 2008 Jan;121(1):269; author reply 269. doi: 10.1016/j.jaci.2007.08.062. Epub 2007 Oct 24.
6
A treatment for vocal cord dysfunction in female athletes: an outcome study.女性运动员声带功能障碍的一种治疗方法:一项结果研究。
Laryngoscope. 2001 Oct;111(10):1751-5. doi: 10.1097/00005537-200110000-00016.
7
Etiology of dyspnea in elite and recreational athletes.精英运动员和业余运动员呼吸困难的病因。
Phys Sportsmed. 2012 May;40(2):28-33. doi: 10.3810/psm.2012.05.1962.
8
How accurate is the diagnosis of exercise induced asthma among Vancouver schoolchildren?温哥华学童运动诱发性哮喘的诊断有多准确?
Arch Dis Child. 2005 Sep;90(9):898-902. doi: 10.1136/adc.2004.063974. Epub 2005 Apr 26.
9
Pseudo-asthma: when cough, wheezing, and dyspnea are not asthma.假性哮喘:咳嗽、喘息和呼吸困难并非由哮喘引起的情况。
Pediatrics. 2007 Oct;120(4):855-64. doi: 10.1542/peds.2007-0078.
10
[Vocal cord dysfunction or bronchial asthma?].[声带功能障碍还是支气管哮喘?]
Pol Merkur Lekarski. 2005 Jun;18(108):715-9.

引用本文的文献

1
Continuous bronchoscopy during exercise in a pediatric patient: A case report.一名儿科患者运动期间的连续支气管镜检查:病例报告。
Physiol Rep. 2025 Sep;13(17):e70543. doi: 10.14814/phy2.70543.
2
Cut-off values to evaluate exercise-induced asthma in eucapnic voluntary hyperventilation test for children.用于评估儿童呼碱激发试验中运动性哮喘的截断值。
Clin Physiol Funct Imaging. 2020 Sep;40(5):343-350. doi: 10.1111/cpf.12647. Epub 2020 Jun 26.
3
Pediatric exercise-induced bronchoconstriction: contemporary developments in epidemiology, pathogenesis, presentation, diagnosis, and therapy.
小儿运动诱发性支气管收缩:流行病学、发病机制、表现、诊断和治疗的当代进展。
Curr Allergy Asthma Rep. 2013 Dec;13(6):662-71. doi: 10.1007/s11882-013-0380-x.
4
Physical deconditioning as a cause of breathlessness among obese adolescents with a diagnosis of asthma.肥胖青少年哮喘诊断中因身体失能导致呼吸困难。
PLoS One. 2013 Apr 23;8(4):e61022. doi: 10.1371/journal.pone.0061022. Print 2013.