Early childhood wheezing: various natural courses and their relationship to later asthma.

Early childhood wheezing: various natural courses and their relationship to later asthma.
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DOI:
10.3345/kjp.2012.55.8.259
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发表时间:
2012-08
影响因子:
--
通讯作者:
Koh YY
Koh YY
中科院分区:
其他
文献类型:
--
作者:
Suh DI;Koh YY

文献摘要

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喘息是最常见的投诉之一,导致使用医疗资源在年幼的儿童。通常,喘息是由毛细支气管炎引起的,并自行消退而不复发,但有时,喘息可进展为哮喘。关于儿童喘息自然病史的早期数据大多来自医疗记录的回顾性审查或问卷调查,这使得很难排除偏见。现在有了许多队列研究,回顾出生队列研究的结果使人们有可能了解儿童早期喘息的自然过程和哮喘的危险因素。在这项研究中,我们回顾了儿童早期喘息的各种表型及其自然过程,以帮助选择最适合不同类型的儿童早期喘息的管理模式。
Wheezing is one of the most frequent complaints that lead to the use of medical resources in younger children. Generally, wheezing is caused by bronchiolitis and resolves spontaneously without recurrence, but sometimes, wheezing can progress into asthma. Early data on the natural history of childhood wheezing was mostly obtained from retrospective reviews of medical records or from questionnaires, which made it difficult to exclude biases. Now that many cohort studies are available, reviewing the results of birth cohort studies makes it possible to understand the natural course of early childhood wheezing and the risk factors for asthma. In this study, we have reviewed the various phenotypes of early childhood wheezing and their natural courses to help select the most appropriate management modalities for the different types of early childhood wheezing.