中国实用儿科杂志

中国实用儿科杂志 ›› 2024, Vol. 39 ›› Issue (9): 652-658.DOI: 10.19538/j.ek2024090602

• 指南.标准.共识 • 上一篇    下一篇

儿童呼吸道感染后咳嗽中西医结合诊治专家共识（2024年版）

  

  1. 执　笔：王雪峰，刘恩梅
    制定专家（按单位首字和姓氏汉语拼音顺序排序）：重庆医科大学附属儿童医院（刘恩梅，罗征秀，唐雨一）；复旦大学附属儿科医院（李智平，张晓波）；广西中医药大学第一附属医院（王力宁）；广州中医药大学第一附属医院（许　华）；湖南中医药大学第一附属医院（王孟清）；昆明医科大学附属儿童医院（付红敏）；辽宁中医药大学附属医院（王雪峰，张秀英）；南京中医药大学附属医院（赵　霞）；山东中医药大学附属医院（张葆青）；山西中医药大学附属医院（秦艳虹）；上海交通大学医学院附属儿童医院（董晓艳，陆　权）；上海中医药大学附属龙华医院（姜之炎）；上海中医药大学附属上海市中医院（虞坚尔）；首都医科大学附属北京儿童医院（赵顺英）；四川大学华西第二医院（陈莉娜，刘瀚旻）；苏州大学附属儿童医院（郝创利）；天津市儿童医院  天津大学儿童医院（邹映雪）；天津中医药大学第一附属医院（胡思源，李新民，马　融）；温州医科大学附属第二医院 育英儿童医院（张海邻）；云南中医药大学（熊　磊）；长春中医药大学附属医院（孙丽平）；浙江大学医学院附属儿童医院（陈志敏）；《中国实用儿科杂志》编辑部（吴洋意）
  • 出版日期:2024-09-06 发布日期:2024-09-23
  • 通讯作者: 陆权，电子信箱：luquan-sh@vip.sina.com；王雪峰，电子信箱：lnzywxf@163.com

Expert consensus on integrated traditional Chinese and western medicine diagnosis and treatment of post-infectious cough （PIC）  with respiratory tract in children  （2024 Edition） 

  • Online:2024-09-06 Published:2024-09-23

摘要： 儿童呼吸道感染后咳嗽（post-infectious cough，PIC）归属于慢性咳嗽的非特异性咳嗽范畴，是指儿童呼吸道感染急性期相关症状消失后，咳嗽仍迁延不愈的一类疾病。PIC是引起儿童慢性咳嗽的主要病因之一，新型冠状病毒（以下简称新冠）疫情后我国呼吸系统感染性疾病病原谱发生了较大变迁，PIC有增多趋势。目前，PIC致病特点尚不清晰，发病机制鲜少针对性报道，规范性诊断尚不成熟，临床实践中PIC的中西医结合疗法常被医患所认可。中西医结合并非在化学药物基础上简单地加用中药辅助治疗，而是需要中西医交互引导进行个体化的“防-治-康”指导，建立系统的诊疗思路并形成中西医融合方案已被提到议事日程。为此，由中华中医药学会儿童健康协同创新平台、中国妇幼保健协会儿童变态反应专业委员会呼吸学组、《中国实用儿科杂志》编辑委员会共同发起并组织国内相关领域专家制定本共识，以期为PIC的中西医结合诊疗提供指导。

关键词: 儿童, 呼吸道感染后咳嗽, 中西医结合, 共识

Abstract: Post-infectious cough （PIC） of respiratory tract in children belongs to the non-specific cough category of chronic cough， which refers to a type of disease in children，in which the cough persists even after the acute symptoms of respiratory tract infections have disappeared. PIC is the third leading cause of chronic cough in children. After the outbreak of novel coronavirus infection （hereinafter referred to as COVID-19）， the original spectrum of infectious diseases of the respiratory system in China has changed greatly， and PIC has increased. At present， the pathogenic characteristics of PIC are not clear， and there are few targeted reports on the pathogenesis. Standardized diagnosis is not yet mature. In clinical practice， the combination therapy of traditional Chinese and western medicine for PIC is often recognized by doctors and patients. The combination of traditional Chinese and western medicine is not just the use of chemical drugs supplemented with traditional Chinese medicine， but requires individualized "prevention-treatment-rehabilitation" guidance through the interaction of traditional Chinese and western medicine. The establishment of a systematic diagnosis and treatment approach and the formation of an integrated plan of traditional Chinese and western medicine have been put on the agenda. Therefore， this consensus was jointly initiated and organized by the Children's Health Collaborative Innovation Platform of China Association of Chinese Medicine， Group of Respiration of Professional Committee of Child Allergologyof China Maternal and Child Health Association， and Editorial Committee of Chinese Journal of Practical Pediatrics， in order to provide guidance for the integrated diagnosis and treatment of PIC with traditional Chinese and western medicine.

Key words: child, post-infectious cough （PIC） of respiratory tract, integrated traditional Chinese and western medicine, consensus