儿童躯体咳嗽综合征诊疗进展

Advance in Diagnosis and Treatment of Somatic Cough Syndrome in Children

躯体咳嗽综合征是儿童慢性咳嗽的常见病因之一,其典型表现为异常响亮刺耳的犬吠样、雁鸣样频繁干咳,一般入睡后咳嗽消失,且存在与咳嗽相关的感觉、想法或行为,严重影响患儿的生活、社会交往等。儿童躯体咳嗽综合征存在多种生物-心理-社会高危因素,需要与抽动性咳嗽及其他引起慢性咳嗽的疾病相鉴别。一般药物治疗(如止咳药、抗生素、抗组胺药、激素、支气管扩张剂)对于儿童躯体咳嗽综合征患者无效,目前主要采用催眠、暗示、放松、安慰等心理治疗。因此,全面了解儿童躯体咳嗽综合征的诊疗进展,可以为疾病的治疗提供新思路。

Somatic cough syndrome is one of the common causes for chronic cough in children.The typical profile is an unusually loud,frequent,dry cough with a barking or honking character.Generally,the cough disappears during sleep.It may be accompanied by abnormal feelings,thoughts,or behaviors and seriously affect the children′s life or social interaction.Children with somatic cough syndrome have been shown to have a variety of biopsychosocial risk factors.Attention should be paid to distinguishing it from tic cough and other conditions that cause chronic cough.Common pharmacotherapy(such as cough suppressants,antibiotics,antihistamines,steroids and bronchodilators)has little effect,and currently psychotherapy is mainly used for the treatment,including hypnosis,suggestion therapy,relaxation techniques,reassurance etc.Thus,a comprehensive understanding of the diagnosis and treatment progress of somatic cough syndrome in children can provide new ideas for the therapy.