哮喘联盟

   成人和儿童的躯体咳嗽综合症（以前被称为心理性咳嗽）和抽搐性咳嗽（以前被称为习惯性咳嗽）：美国胸内科医师学会(CHEST)指南和专家小组的报告  
 

  

   摘要
   背景：我们对心理性咳嗽、习惯性咳嗽和抽搐性咳嗽的管理做了系统的回顾，以更新关于这一主题的2006版指南中的建议和意见。
   方法：我们遵照了美国胸内科医师学会（CHEST）的方法学指南和建议的分级、评估、发展和评价框架。咳嗽小组专家的建议基于来自系统回顾、患者观念及偏好和临床的数据。根据Delphi方法，最终分级达成了一致。
   结果：系统性回顾的结果显示：只有低质量证据支持如何界定或诊断心理性或习惯性咳嗽，且没有明确的诊断标准。关于治疗，根据低质量证据，委员会建议，只对患有心理性咳嗽的孩子进行治疗。这种治疗可能由催眠或暗示等非药物性疗法、以及联合安慰、心理咨询、心理疗法和适当的精神药物等组成。基于多种资源和现代心理学、精神病学、神经病学标准（精神障碍的诊断与统计手册第五版和抽动障碍指南），委员会表明心理性咳嗽或习惯性咳嗽这种术语已经过时且不准确。
   结论：与2006 CHEST咳嗽指南相比，建议的主要变化在于：即使证据的质量低，也弃用心理性和习惯性咳嗽术语，分别以躯体咳嗽综合症和抽搐性咳嗽代替。

 

（苏欣 审校）
Chest. 2015 Jul 1;148(1):24-31. doi: 10.1378/chest.15-0423.

 

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; CHEST Expert Cough Panel.
 

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.
METHODS:We followed the American College of Chest Physicians (CHEST) methodologic guidelines and the Grading of Recommendations, Assessment, Development, and Evaluation framework. The Expert Cough 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 believed to have psychogeniccough. Such therapy might consist of nonpharmacologic trials of hypnosis or suggestion therapy, or combinations of reassurance, counseling, and referral to a psychologist, psychotherapy, and appropriate psychotropic medications. Based on multiple resources and contemporary psychologic, psychiatric, and neurologic criteria (Diagnostic and Statistical Manual of Mental Disorders, 5th edition and tic disorder guidelines), the committee suggests that the terms psychogenic and habit cough are out of date and inaccurate.
CONCLUSIONS:Compared with the 2006 CHEST Cough Guidelines, the major change in suggestions is that the terms psychogenic and habit cough be abandoned in favor of somatic cough syndrome and tic cough, respectively, even though the evidence to do so at this time is of low quality.
 

Chest. 2015 Jul 1;148(1):24-31. doi: 10.1378/chest.15-0423.