过去,现在和未来对儿童和成人耐火性慢性咳的护理
Miles Weinberger1, Ran D Anbar2, Dennis Buettner3
1Rady Children's Hospital, University of California San Diego, San Diego, CA 92123, USA.
Journal of clinical medicine
|September 27, 2025
概括
无法解释的慢性咳可能是一种习惯障碍,而不仅仅是医学并发症. 诸如暗示疗法之类的行为技术,在儿童中被证明是有效的,对于耐性咳的成年人来说也很有前途.
科学领域:
- 肺部病理学 肺部病理学
- 神经学 神经学
- 行为医学是一种行为医学.
背景情况:
- 没有明确诊断的慢性咳已经被认可了几个世纪.
- 从历史上看,诸如GERD和鼻后滴水等并发症都与此有关.
- 最近的了解表明,慢性咳可能是一种独特的神经或习惯障碍,难以接受标准治疗.
研究的目的:
- 探索慢性咳作为习惯障碍的概念.
- 审查慢性咳行为干预措施的有效性.
- 为了比较习惯性障碍治疗与传统的基于并发症的方法.
主要方法:
- 关于慢性咳的历史和当代出版物的文献综述.
- 对调查耐火性慢性咳病理生理学的研究进行分析.
- 检查行为疗法的证据,特别是建议疗法.
主要成果:
- 有证据表明,频繁的咳可能会由于呼吸道炎症和神经过敏而造成自我延续的循环 (恶性循环).
- 暗示疗法是一种打破习惯的行为技术,在儿童和儿科中心的标准护理中非常有效.
- 对于患有耐火性慢性咳的成年人进行暗示疗法的概念证明已经存在,但尚未得到广泛采用.
结论:
- 耐药性慢性咳可能代表一种习惯障碍,可以通过行为修改来治疗.
- 建议疗法为患有慢性咳的成年人提供了一个有希望的替代或辅助治疗方法.
- 进一步将行为疗法纳入成人专科咳中心是有必要的.
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