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韩国成人及儿童慢性咳嗽的KAAACI循证临床实践指南

KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea.

作者信息

Song Dae Jin, Song Woo Jung, Kwon Jae Woo, Kim Gun Woo, Kim Mi Ae, Kim Mi Yeong, Kim Min Hye, Kim Sang Ha, Kim Sang Heon, Kim Sang Hyuck, Kim Sun Tae, Kim Sae Hoon, Kim Ja Kyoung, Kim Joo Hee, Kim Hyun Jung, Kim Hyo Bin, Park Kyung Hee, Yoon Jae Kyun, Lee Byung Jae, Lee Seung Eun, Lee Young Mok, Lee Yong Ju, Lim Kyung Hwan, Jeon You Hoon, Jo Eun Jung, Jee Young Koo, Jin Hyun Jung, Choi Sun Hee, Hur Gyu Young, Cho Sang Heon, Kim Sang Hoon, Lim Dae Hyun

机构信息

Department of Pediatrics, Korea University College of Medicine and Environmental Health Center for Childhood Asthma, Korea University Anam Hospital, Seoul, Korea.

Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Allergy Asthma Immunol Res. 2018 Nov;10(6):591-613. doi: 10.4168/aair.2018.10.6.591.

Abstract

Chronic cough is common in the community and causes significant morbidity. Several factors may underlie this problem, but comorbid conditions located at sensory nerve endings that regulate the cough reflex, including rhinitis, rhinosinusitis, asthma, eosinophilic bronchitis, and gastroesophageal reflux disease, are considered important. However, chronic cough is frequently non-specific and accompanied by not easily identifiable causes during the initial evaluation. Therefore, there are unmet needs for developing empirical treatment and practical diagnostic approaches that can be applied in primary clinics. Meanwhile, in referral clinics, a considerable proportion of adult patients with chronic cough are unexplained or refractory to conventional treatment. The present clinical practice guidelines aim to address major clinical questions regarding empirical treatment, practical diagnostic tools for non-specific chronic cough, and available therapeutic options for chronic wet cough in children and unexplained chronic cough in adults in Korea.

摘要

慢性咳嗽在社区中很常见,并会导致严重的发病率。这个问题可能有多种因素,但位于调节咳嗽反射的感觉神经末梢的合并症,包括鼻炎、鼻窦炎、哮喘、嗜酸性支气管炎和胃食管反流病,被认为很重要。然而,慢性咳嗽往往是非特异性的,在初始评估期间伴有不易识别的病因。因此,开发可应用于基层诊所的经验性治疗方法和实用诊断方法仍存在未满足的需求。同时,在转诊诊所,相当一部分慢性咳嗽的成年患者病因不明或对传统治疗无效。本临床实践指南旨在解决有关经验性治疗、非特异性慢性咳嗽的实用诊断工具以及韩国儿童慢性湿性咳嗽和成人不明原因慢性咳嗽的可用治疗选择等主要临床问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f335/6182199/2226d96bf144/aair-10-591-g001.jpg

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