近年来,肺部手术数量逐年增加,术后咳嗽患者也逐渐增多.肺部手术后慢性咳嗽严重影响患者生活质量及手术效果,已成为临床医生亟待解决的临床问题之一.但目前我国尚没有肺部手术后慢性咳嗽诊疗指南及共识,且无标准统一的治疗方法.因此,我们检索PubMed、Web of Science、中国知网及万方等数据库2000-2023年的相关文献和研究资料,采用德尔菲法制定了我国首部针对肺部手术后慢性咳嗽的专家共识.共识从慢性咳嗽治疗时机、危险因素(手术方式、淋巴结清扫方法、麻醉方法)、预防方法(术前、术中、术后)、治疗方法(病因治疗、镇咳药物治疗、中医药治疗、术后物理治疗)5个角度提出11条推荐意见.期望此共识能提高肺部手术后慢性咳嗽治疗的规范性和有效性,为临床医生提供参考,最终提高肺部手术后慢性咳嗽患者的生活质量.
Chinese expert consensus on the diagnosis and treatment of chronic cough after lung surgery
In recent years,the number of lung surgeries has increased year by year,and the number of patients with postoperative cough has also increased gradually.Chronic cough after lung surgery seriously affects patients'quality of life and surgical outcome,and has become one of the clinical problems that clinicians need to solve.However,there is currently no guideline or consensus for the treatment of chronic cough after lung surgery in China,and there is no standardized treatment method.Therefore,we searched databases such as PubMed,Web of Science,CNKI,and Wanfang databases ect.from 2000 to 2023 to collected relevant literatures and research data,and produced the first expert consensus on chronic cough after lung surgery in China by Delphi method.We gave 11 recommendations from five perspectives including timing of chronic cough treatment,risk factors(surgical method,lymph node dissection method,anesthesia method),prevention methods(preoperative,intraoperative,postoperative),and treatment methods(etiological treatment,cough suppressive drug treatment,traditional Chinese medicine treatment,and postoperative physical therapy).We hope that this consensus can improve the standardization and effectiveness of chronic cough treatment after lung surgery,provide reference for clinical doctors,and ultimately improve the quality of life of patients with chronic cough after lung surgery.
NETL
NSTL
万方数据
维普
