哮喘联盟

   摘要
   背景：我们对心因性咳嗽，习惯性咳嗽，抽搐性咳嗽的治疗进行系统的综述，更新2006年指南中关于这一主题的的建议和意见。
   方法：我们遵循CHEST方法指南和GRADE框架。咳嗽专家小组的建议基于系统综述、患者价值观、偏好和临床数据。最后的分级是根据德菲法达成一致。
   结果：该系统综述的结果显示，在没有有效诊断标准的情况下，只有低质量的证据来支持如何鉴定或诊断心因性或习惯性咳嗽。至于治疗，低质量的证据使委员会只建议治疗他们认为患有心因性咳嗽的儿童。这种治疗可能包括非药物治疗：催眠，暗示疗法或安慰、辅导的联合治疗，转诊心理医生治疗，心理治疗和适当的精神药物治疗。基于多种资源和当代的心理学，精神病学和神经病学的标准（DSM-5和抽动障碍的指南），该委员会提议心因性和习惯性咳嗽的术语是过时和不准确的。
   结论：相较于2006年CHEST咳嗽指南，建议的主要变化是，虽然证据质量仍然较低，但心因性和习惯性咳嗽这种说法已经被摒弃，取而代之的分别为躯体咳嗽综合征和习惯性咳嗽。
 

（苏欣 审校）
Chest. 2015 Apr 9. doi: 10.1378/chest.15-0423. [Epub ahead of print]
 

Somatic Cough Syndrome (previously referred to as psychogenic cough) and TicCough (previously referred to as habit cough) in Adults and Children: Chest Guideline and Expert Panel Report.
 

Vertigan AE, Murad MH, Pringsheim T, Feinstein A, Chang AB, Newcombe PA, Rubin BK, McGarvey LP, Weir K,Altman KW, Weinberger M, Irwin RS.
 

Abstract
BACKGROUND:We conducted a systematic review on the management of psychogenic cough, habit cough, and tic cough to update the recommendations and suggestions of the 2006 guideline on this topic.
METHODOLOGY:We followed the CHEST methodological guidelines and the GRADE framework. The ExpertCough Panel based their recommendations on data from the systematic review, patients' values and preferences and the clinical context. Final grading was reached by consensus according to Delphi methodology.
RESULTS:The results of the systematic review revealed only low quality evidence to support how to define or diagnose psychogenic or habit cough with no validated diagnostic criteria. With respect to treatment, low quality evidence allowed the committee to only suggest therapy for children thought to have psychogeniccough. Such therapy might consist of non-pharmacological trials of hypnosis or suggestion therapy or combinations of reassurance, counselling, and referral to a psychologist, psychotherapy and appropriate psychotropic medications. Based on multiple resources and contemporary psychological, psychiatric and neurological criteria (DSM-5 and tic disorder guidelines), the committee suggests that the terms psychogenic and habit cough are out of date and inaccurate.
CONCLUSIONS:Compared to the 2006 CHEST Cough Guidelines, the major change in suggestions is that the terms psychogenic and habit cough be abando habit cough ned in favour of Somatic Cough Syndrome and HabitCough, respectively, even though the evidence to do so at this time is of low quality.
 

Chest. 2015 Apr 9. doi: 10.1378/chest.15-0423. [Epub ahead of print]