medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-17-124-127medsovet-2707Research ArticleБРОНХОПУЛЬМОНОЛОГИЯ И ЛОРBRONCHIAL PULMONOLOGY AND ENTКашель у детей. Как распознать причину и что делать?Children’s cough. How to recognize the cause and what to do?БойковаН. Э.BoikovaN. E.

Бойкова Натэлла Эрнестовна – кандидат медицинских наук, ученый секретарь диссертационного совета

Москва 

ГаращенкоТ. И.GarashchenkoT. I.

Гаращенко Татьяна Ильинична – доктор медицинских наук, профессор, врач-оториноларинголог, ученый секретарь

Москва 

ФГБУ «Научно-клинический центр оториноларингологии» Федерального медико-биологического агентства РоссииРоссияScientific and Clinical Center of Otorhinolaryngology of the Federal Medico-Biological AgencyRussian Federation201820102018017124127Copyright © Бойкова Н.Э., Гаращенко Т.И., 20182018Бойкова Н.Э., Гаращенко Т.И.Boikova N.E., Garashchenko T.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2707

В статье рассматривается разнообразие факторов возникновения кашля, подробно приведены его виды. Особое внимание уделено распространенности сухого кашля, предложен оптимальный вариант фармакотерапии с выбором современного противокашлевого препарата центрального действия.

The article considers the variety of factors that favor the occurrence of cough and describes its types in detail. Particular attention is paid to the prevalence of dry cough; an optimal variant of pharmacotherapy with the choice of a modern centrally active antitussive drug is suggested.

кашельдетисимптоматическая терапияпротивокашлевые препаратыcoughchildrensymptomatic therapyantitussivesReferencesGibson PG, Chang AB, Glasgow NJ, Holmes PW, Katelaris P, Kemp AS, Landau LI, Mazzone S, Newcombe P, Van Asperen P, Vertigan AE. CICADA: Cough in Children and Adults: Diagnosis and Assessment. Australian Cough Guidelines summary statement. MJA, 2010, 192(5): 265-271.Gibson PG, Chang AB, Glasgow NJ, Holmes PW, Katelaris P, Kemp AS, Landau LI, Mazzone S, Newcombe P, Van Asperen P, Vertigan AE. CICADA: Cough in Children and Adults: Diagnosis and Assessment. Australian Cough Guidelines summary statement. MJA, 2010, 192(5): 265-271.Dicpinigatis PV, Morice AH, Birring SS et al. Antitussive drugs – past, present and future. Pharmacol Rev, 2014, 66(2): 468-512.Dicpinigatis PV, Morice AH, Birring SS et al. Antitussive drugs – past, present and future. Pharmacol Rev, 2014, 66(2): 468-512.Ильенко Л.И., Гаращенко Т.И., Сырьева Т.Н. и соавт. Противокашлевая терапия у детей. Традиционные и нетрадиционные подходы к лечению. Методические рекомендации. М., 2002. 60 с.Ilyenko LI, Garashchenko TI, Syryeva TN, et al. Antitussive therapy in children. Traditional and non-traditional approaches to treatment. Guidelines. M., 2002. 60 p.Nishino T, Tagaito Y, Isono S. Cough and other reflexes on irritation of airway mucosa in man. Pulm Pharmacol, 1996, 9: 286-292.Nishino T, Tagaito Y, Isono S. Cough and other reflexes on irritation of airway mucosa in man. Pulm Pharmacol, 1996, 9: 286-292.Chang AB, Landau LI, Van Asperen PP et al. Cough in children: definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand. Med J Australia, 2006, 184: 398-403.Chang AB, Landau LI, Van Asperen PP et al. Cough in children: definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand. Med J Australia, 2006, 184: 398-403.Chang AB. Cough: are children different to adults? Cough, 2005, 1: 7.Chang AB. Cough: are children different to adults? Cough, 2005, 1: 7.Kemp AS. Does postnasal drip cause cough in childhood? Paediatr Resp Rev, 2006, 7: 31-35.Kemp AS. Does postnasal drip cause cough in childhood? Paediatr Resp Rev, 2006, 7: 31-35.Marchant JM, Masters IB, Taylor SM et al. Evaluation and outcome of young children with chronc cough. Chest, 2006, 129: 1132-1141.Marchant JM, Masters IB, Taylor SM et al. Evaluation and outcome of young children with chronc cough. Chest, 2006, 129: 1132-1141.Мельникова И.М., Удальцова Е.В., Мизерницкий Ю.Л. Кашель у детей: когда и как лечить? Медицинский совет, 2017, 1: 116120.Melnikova IM, Udaltsova EV, Mizernitsky YuL. Children’s cough: when and how to treat? Meditsinsky Sovet, 2017, 1: 116-120.Делягин В.М. Кашель у детей – лечить или не лечить? Медицинский совет, 2018, 2: 82-85. / Delyagin VМ. Children’s cough: to treat or not to treat? Meditsinsky Sovet, 2018, 2: 82-85.Delyagin VМ. Children’s cough: to treat or not to treat? Meditsinsky Sovet, 2018, 2: 82-85.Usta GB, Asilsoy S, Durmaz C. The assessment and management of chronic cough in children according to the British Thoracic Society guidelines: descriptive, prospective, clinical trial. Clin Respir J, 2014, 8(3): 330-337.Usta GB, Asilsoy S, Durmaz C. The assessment and management of chronic cough in children according to the British Thoracic Society guidelines: descriptive, prospective, clinical trial. Clin Respir J, 2014, 8(3): 330-337.Панякина М.А., Овчинников А.Ю., Коростелев С.А. Постинфекционный кашель – современный взгляд на патогенез и возможности терапии. Вестник оторинолар., 2013, 4: 78-81.Panyakina MA, Ovchinnikov AYu., Korostelev SA. Postinfection cough a modern view of the pathogenesis and possibilities of therapy. Vestnik Otorinolar., 2013, 4: 78-81.Lamas A, Vakbuena M, Maiz L. Cough in children. Archivos de Bronchopneumologia, 2014, 50(7): 294-300.Lamas A, Vakbuena M, Maiz L. Cough in children. Archivos de Bronchopneumologia, 2014, 50(7): 294-300.Campanella SG, Asher MI. Current controversies: sinus disease and the lower airways. Pediatr Pulmonol, 2001, 31: 165-172.Campanella SG, Asher MI. Current controversies: sinus disease and the lower airways. Pediatr Pulmonol, 2001, 31: 165-172.Lee MG, Undem Basic medications of cough: current understanding and remaining questions. Lung, 2008, 186(Suppl. 1): 10-16.Lee MG, Undem Basic medications of cough: current understanding and remaining questions. Lung, 2008, 186(Suppl. 1): 10-16.Pavord ID, Chung KF. Management of chronic cough. Lancet, 2008, 371: 1375-1384.Pavord ID, Chung KF. Management of chronic cough. Lancet, 2008, 371: 1375-1384.Baik I, Kim J, Abbott RD et al. Association of snoring with chronic bronchitis. Arch Intern Med, 2008, 168: 167-173.Baik I, Kim J, Abbott RD et al. Association of snoring with chronic bronchitis. Arch Intern Med, 2008, 168: 167-173.Birring SS, Ing AJ, Chan K et al. Obstructive sleep apnoea: a cause of chronic cough. Cough, 2007, 3:Birring SS, Ing AJ, Chan K et al. Obstructive sleep apnoea: a cause of chronic cough. Cough, 2007, 3:Vakil N, van Zanten SV, Kahrilas P et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidencebased consensus. Am J Gastroenterol, 2006, 101: 1900-1902.Vakil N, van Zanten SV, Kahrilas P et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidencebased consensus. Am J Gastroenterol, 2006, 101: 1900-1902.Chang AB, Lasserson TJ, Gaffney J et al. Gastrooesoephageal reflux treatment for prolonged non-specific cough in children and adults. Cochrane Database Syst Rev., 1996, 4: 433-441.Chang AB, Lasserson TJ, Gaffney J et al. Gastrooesoephageal reflux treatment for prolonged non-specific cough in children and adults. Cochrane Database Syst Rev., 1996, 4: 433-441.Gibson PG, Vertigan AE. Speech pathology for chronic cough: a new approach. Pulm Pharmacol Ther, 2009, 22: 159-162.Gibson PG, Vertigan AE. Speech pathology for chronic cough: a new approach. Pulm Pharmacol Ther, 2009, 22: 159-162.Vertigan AE, Theodoros DG, Gibson PG. Wink worth AL Efficacy of speech pathology management for chronic cough: a randomized placebo control led trial of treatment efficacy. Thorax. 2006, 61: 1065-1069.Vertigan AE, Theodoros DG, Gibson PG. Wink worth AL Efficacy of speech pathology management for chronic cough: a randomized placebo control led trial of treatment efficacy. Thorax. 2006, 61: 1065-1069.Morice A, Kardos P. Comprehensive evidencebased review of European antitussives. BMJ Open Resp Res, 2016, 3: e000137. doi. 10.1136/ bmjresp-2016000137.Morice A, Kardos P. Comprehensive evidencebased review of European antitussives. BMJ Open Resp Res, 2016, 3: e000137. doi. 10.1136/ bmjresp-2016000137.Колосова Н.Г., Шаталина Н.И. Противо кашлевые препараты в практике педиатра. Медицинский совет, 2017, 9: 76-79.Kolosova NG, Shatalina NI. Antitussive drugs in the paediatric practice. Meditsinsky Sovet, 2017, 9: 76-79Faruqi S, Wright C, Tompson R et al. A randomized placebo controlled trial to evaluate the effects of butamirate and dextromethorphan on capsaicin induced cough in healthy volunteers. Br J Clin Pharmacol, 2014, 78(6): 1272-1280.Faruqi S, Wright C, Tompson R et al. A randomized placebo controlled trial to evaluate the effects of butamirate and dextromethorphan on capsaicin induced cough in healthy volunteers. Br J Clin Pharmacol, 2014, 78(6): 1272-1280.Захарова И.Н., Бережная И.В. Тактика педиатра в выборе препаратов при кашле у детей. Медицинский совет, 2016, 16: 154-160.Zakharova IN, Berezhnaya IV. The paediatric strategies in the choice of drugs in children’s cough. Meditsinsky Sovet, 2016, 16: 154-160.

The authors declare that there are no conflicts of interest present.