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咳嗽变异性哮喘的治疗 被引量：19

Therapy of Cough Variant Asthma in Children
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摘要 咳嗽变异性哮喘(CVA)在儿童尤为常见。因为其与典型哮喘的病理特点相似,所以CVA的治疗策略基本与典型哮喘相同。主要应用以下3类药物:短效β2受体激动剂、吸入糖皮质激素(ICS)及白三烯受体拮抗剂(LTRAs)。应用支气管扩张剂和ICS是其主要治疗路径。间歇性咳嗽患者,按需吸入短效β2受体激动剂;ICS是持续性咳嗽的一线治疗药物;假如ICS单一治疗无效,可联合应用LTRAs、缓释茶碱或长效β2受体激动剂。CVA生理学上的异常较典型哮喘轻,但这并不意味着CVA是哮喘的一种较轻的形式,因为CVA患者的管理更加困难。对于儿童CVA的临床治疗尚需进一步的循证医学证据。
作者 尚云晓
机构地区 中国医科大学附属盛京医院小儿呼吸内科
出处 《实用儿科临床杂志》 CAS CSCD 北大核心 2010年第16期1210-1212,共3页 Journal of Applied Clinical Pediatrics
关键词 咳嗽变异性哮喘 治疗 儿童
分类号 R725.6 [医药卫生—儿科]
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参考文献22

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二级参考文献14

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共引文献34

同被引文献188

引证文献19

二级引证文献157

实用儿科临床杂志
2010年 第16期

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