中国实用儿科杂志

中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (4): 266-275.DOI: 10.19538/j.ek2026040602

• 指南·标准·共识 • 上一篇    下一篇

儿童感染后闭塞性细支气管炎呼吸康复专家建议（2026 年）

  

  1. 执笔：吴碧琛，蒯仲凯，樊慧峰，张喜，陈艳萍，刘恩梅，卢根
    制定专家组名单（按单位和姓名首字汉语拼音排序）：长沙市中医医院（长沙市第八医院）（蒯仲凯、赵飞）；重庆医科大学附属儿童医院（符州、刘恩梅、刘玉琳、罗征秀、臧娜）；复旦大学附属儿科医院（张晓波）；广西医科大学附属第一医院（农光民）；广西壮族自治区妇幼保健院（蒋敏）；广州呼吸健康研究院（杨峰）；广州医科大学附属妇女儿童医疗中心（樊慧峰、卢根）；华中科技大学附属武汉儿童医院（陆小霞）；昆明医科大学附属儿童医院（昆明市儿童医院）（付红敏）；南京医科大学附属儿童医院（田曼）；山东第一医科大学附属省立医院（陈星）；上海交通大学医学院附属第一人民医院（洪建国）；上海交通大学医学院附属儿童医院（陆权、董晓艳）；首都医科大学附属北京儿童医院（申昆玲、向莉、徐保平、赵成松、赵顺英）；四川大学华西第二医院（陈莉娜、刘瀚旻）；四川大学华西医院（喻鹏铭）；天津大学儿童医院 天津市儿童医院（邹映雪）；温州医科大学附属第二医院 育英儿童医院（张海邻）；浙江大学医学院附属儿童医院（唐兰芳）；中国医科大学附属盛京医院（陈宁）；中南大学湘雅二医院（孔瑛）；中南大学湘雅医学院附属儿童医院（湖南省儿童医院）（陈艳萍、吴碧琛、张喜）；中日友好医院（王思远）；中山大学孙逸仙纪念医院（黄花荣）
  • 出版日期:2026-04-06 发布日期:2026-05-11
  • 通讯作者: 陈艳萍，电子信箱：hnchengyanping@163.com；刘恩梅，电子信箱：emliu186@hotmail.com；卢根，电子信箱：lugen5663330@sina.com

Expert recommendations on respiratory rehabilitation for post-infectious bronchiolitis obliterans in children（2026）

  • Online:2026-04-06 Published:2026-05-11

摘要： 感染后闭塞性细支气管炎（post-infectious bronchiolitis obliterans，PIBO）是儿童闭塞性细支气管炎最常见的类型，作为一种慢性呼吸系统疾病，其对患儿的生长发育及身心健康均造成严重不良影响。呼吸康复是呼吸系统疾病长期管理中核心的非药物干预手段，但儿童PIBO呼吸康复尚缺乏统一的指南标准。鉴于此，该建议立足于国内外最新循证医学证据，结合临床专家实践经验，制定《儿童感染后闭塞性细支气管炎呼吸康复专家建议》。在明确PIBO疾病分期的前提下，依据患儿年龄分层及疾病严重程度分级，遴选适配的呼吸康复干预方式与强度，构建个体化康复方案。本建议旨在提升临床对儿童PIBO呼吸康复的认知水平，为临床诊疗提供规范化参考与指导，进而改善患儿临床症状，提高其生活质量，优化远期预后。

关键词: 感染后闭塞性细支气管炎, 儿童, 呼吸康复

Abstract: Post-infectious bronchiolitis obliterans（PIBO） is the most common type of bronchiolitis obliterans in children. As a chronic 
respiratory disease，it has serious adverse effects on the growth and development as well as the physical and mental health of children. Respiratory rehabilitation is a core non-pharmaceutical intervention method in the long-term management of respiratory diseases，but there is still a lack of unified guideline standards for respiratory rehabilitation in children with PIBO. In view of this，and based on the latest evidence-based medical evidence at home and abroad and combined with the practical experience of clinical experts，this "Expert Recommendations on Respiratory Rehabilitation for Children with Post-infectious Bronchiolitis Obliterans" has been formulated. Under the premise of clearly defining the disease stage of PIBO and according to the stratification of the children's age and the classification of the disease severity，the appropriate respiratory rehabilitation intervention methods and intensities are selected，and individualized rehabilitation plans are made. This recommendation aims to enhance the clinical understanding of respiratory rehabilitation for children with PIBO，and provide standardized references and guidance for clinical diagnosis and treatment，thereby improving the clinical symptoms of children，increasing their quality of life，and optimizing their long-term prognosis.

Key words: post-infectious obstructive bronchiolitis, children, respiratory rehabilitation