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慢性咳的发病率,发病因和原因
1Experimental Studies, Airway Disease Section, National Heart and Lung Institute, Imperial College London, London, UK. f.chung@imperial.ac.uk
Lancet (London, England)
|April 22, 2008
概括
持续超过8周的慢性咳是由吸烟,污染和潜在疾病等各种原因引起的. 有效的治疗包括解决根本原因和消除咳通路的敏感性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床科学 临床科学
背景情况:
- 咳是一种重要的呼吸道反射;然而,慢性咳 (>8周) 是一个普遍的社区问题.
- 原因从环境因素 (吸烟,污染) 到喘,COPD和GERD等特定疾病.
研究的目的:
- 概述慢性咳的多因素原因.
- 强调准确诊断对于有效管理的重要性.
- 探索导致持续咳的神经可塑性机制.
主要方法:
- 慢性咳的常见和罕见原因的审查.
- 讨论持续咳的诊断方法.
- 探索病理生理机制,包括神经可塑性和呼吸道炎症.
主要成果:
- 慢性咳与吸烟,污染以及喘,COPD和GERD等疾病有关.
- 异常性咳发生在没有确定的原因时.
- 观察到对咳触发剂 (咳剂) 的敏感性增加以及咳通路中的神经可塑性变化.
结论:
- 有效的慢性咳管理需要识别和治疗潜在疾病.
- 过敏咳通路的脱敏化对于症状控制至关重要.
- 结构和炎症性气道变化可能导致或导致慢性咳.
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