Exercise-induced Bronchospasm In Children

Exercise-induced Bronchospasm In Children
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儿童运动引起的支气管痉挛

DOI:
10.1007/s12016-007-8035-0
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发表时间:
2008
影响因子:
9.1
通讯作者:
C. Randolph
C. Randolph
中科院分区:
医学1区
文献类型:
--
作者:
C. Randolph

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本综述将涵盖已知患有和未患有哮喘的儿童个体中运动诱发的支气管痉挛的定义、历史、流行病学、发病机制、诊断和处理。运动诱发哮喘是已知哮喘患者在剧烈运动(通常持续5 - 10分钟,肺功能下降至少10%)时出现短暂气道狭窄的传统术语。在哮喘患者中,运动诱发哮喘将被称为运动诱发支气管痉挛。运动诱发支气管痉挛(EIB)在未患有已知哮喘的个体中是相同的现象。EIB可见于健康个体,包括儿童以及新兵和竞技或精英运动员。阐述了结合病史采用客观运动激发方法进行的诊断。处理的特点是针对潜在哮喘以及运动诱发支气管痉挛和吸入性过敏采用药物治疗和非药物治疗措施。如果哮喘得到妥善处理,儿童能够成功参与所有体育运动。
This review will encompass definition, history, epidemiology, pathogenesis, diagnosis, and management of exercise –induced bronchospasm in the pediatric individual with and without known asthma. Exercise induced asthma is the conventional term for transient airway narrowing in a known asthma in association with strenuous exercise usually lasting 5-10 minutes with a decline in pulmonary function by at least 10%. Exercise induced asthma will be referred to as exercise induced bronchospasm in an asthmatic. Exercise–induced bronchospasm (EIB ) is the same phenomenon in an individual without known asthma. EIB can be seen in healthy individuals including children as well as defense recruits and competitive or elite athletes. The diagnosis with objective exercise challenge methods in conjunction with history is delineated. Management is characterized with pharmacotherapy and non pharmacotherapeutic measures for underlying asthma as well as exercise induced bronchospasm and inhalant allergy. Children can successfully participate in all sports if asthma is properly managed.
儿童哮喘:管理的新见解。
DOI: 10.1067/mai.2002.120756
发表时间: 2002
期刊: The Journal of allergy and clinical immunology
影响因子: --
作者:
Spahn,JosephD;Szefler,StanleyJ
通讯作者: Szefler,StanleyJ