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咳嗽高敏综合征:为何其在儿童中应用不当。

Cough Hypersensitivity Syndrome: Why Its Use Is Inappropriate in Children.

作者信息

Chang Anne B, Irwin Richard S, O'Farrell Hannah E, Dicpinigaitis Peter V, Goel Suhani, Kantar Ahmad, Marchant Julie M

机构信息

Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD 4059, Australia.

Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, QLD 4101, Australia.

出版信息

J Clin Med. 2023 Jul 25;12(15):4879. doi: 10.3390/jcm12154879.

Abstract

In children and adults, chronic cough is a common symptom presenting to health professionals worldwide. It is internationally accepted that children with chronic cough should be managed with pediatric specific management guidelines. The newly proposed clinical entity of 'cough hypersensitivity syndrome' has gained significant attention in adult literature. Given the significant differences between childhood and adult chronic cough, including in respiratory physiology and anatomy, and cough sensitivity, we address the suitability of the use of cough hypersensitivity syndrome in children. We explore these differences between childhood and adult chronic cough, explain what cough hypersensitivity is and highlight why the term cough hypersensitivity syndrome should not be used in children.

摘要

在儿童和成人中,慢性咳嗽是全球范围内向医疗专业人员就诊的常见症状。国际上公认,患有慢性咳嗽的儿童应按照儿科特定的管理指南进行治疗。新提出的“咳嗽高敏综合征”这一临床实体在成人文献中受到了极大关注。鉴于儿童和成人慢性咳嗽之间存在显著差异,包括呼吸生理和解剖结构以及咳嗽敏感性方面的差异,我们探讨了在儿童中使用咳嗽高敏综合征的适用性。我们探究儿童和成人慢性咳嗽之间的这些差异,解释什么是咳嗽高敏,并强调为何不应在儿童中使用咳嗽高敏综合征这一术语。

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本文引用的文献

1
Cough and cough hypersensitivity as treatable traits of asthma.咳嗽和咳嗽高敏反应作为哮喘的可治疗特征。
Lancet Respir Med. 2023 Jul;11(7):650-662. doi: 10.1016/S2213-2600(23)00187-X. Epub 2023 Jun 16.
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Yardstick for managing cough, part 2: In children.咳嗽管理的标尺,第 2 部分:儿童篇。
Ann Allergy Asthma Immunol. 2023 May;130(5):681-689. doi: 10.1016/j.anai.2023.01.026. Epub 2023 Feb 2.
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Cough hypersensitivity and chronic cough.咳嗽敏感性和慢性咳嗽。
Nat Rev Dis Primers. 2022 Jun 30;8(1):45. doi: 10.1038/s41572-022-00370-w.
8
Understanding the foundations of chronic cough.了解慢性咳嗽的基础。
Am J Manag Care. 2020 Oct;26(11 Suppl):S232-S238. doi: 10.37765/ajmc.2020.88514.
9
Cough Reflex Sensitivity in Asthmatic Children.哮喘儿童的咳嗽反射敏感性。
Physiol Res. 2020 Mar 27;69(Suppl 1):S147-S150. doi: 10.33549/physiolres.934399.

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