小儿咳嗽变异性哮喘的中西医研究进展

A review of the integrative medicine for CVA in children

咳嗽变异性哮喘（CoughVariantAsthma，CVA）又称过敏性咳嗽、隐匿性哮喘、咳嗽性哮喘、过敏性哮喘、过敏性支气管炎等，是哮喘的一种特殊类型。临床以慢性咳嗽为主要或唯一的临床表现，常在夜间和（或）清晨发作，亦常常因运动、遇到冷空气、油烟、灰尘、花粉等刺激而加重。患者往往会有家族过敏史或个人过敏史，临床上用抗生素治疗无效，用支气管扩张剂可缓解。国内对儿童CVA的研究显示，CVA占慢性咳嗽的34％。也有文献报道CVA在欧美可占慢性咳嗽病因构成的24％-29％。近年来，随着各医gN-本病的深入研究，在病因病机方面均各有不同的见解，治疗方面也取得了很好的疗效。

Cough variant asthma （CVA） also known as atopic cough, occult asthma, coughing asthma, atopic asthma, atopic bronchitis, etc. is a special type of asthma. Clinically with chronic cough as the main or only clinical manifestations, often attks at night and （or） early morning, but also often due to exercise, cold air meeting, smoke, dust, pollen and other stimuli increased, Patients often have family history of allergies or personal history of allergy. Clinical antibiotic treatment is ineffective and can be alleviated with bronchodilators. Domestic research shows children CVA accounted for 34% of chronic cough. CVA is also reposed in the literature constituting a cause of chronic cough and accounting for 24% to 29% in Europe. In recent years, with in-depth study of this disease the physicians, the etiology and pathogenesis respects show different opinions. The treatment also achieved good results.