vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v12i1.566vsp-377Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCEКАШЕЛЬ У ДЕТЕЙ: ОСОБЕННОСТИ ДИАГНОСТИКИ И ПОДХОДЫ К ТЕРАПИИCOUGH IN CHILDREN: DIAGNOSTICS AND MANAGEMENTВолковК. С.VolkovK. S.volkovks@rambler.ruНисевичЛ. Л.NisevichL. L.volkovks@rambler.ruНамазова-БарановаЛ. С.Namazova-BaranovaL. S.namazova@nczd.ruФилянскаяЕ. Г.FilyanskayaE. G.volkovks@rambler.ruАлексееваА. А.AlekseevaA. A.volkovks@rambler.ruБаранникВ. А.BarannikV. A.volkovks@rambler.ruНаучный центр здоровья детей РАМН, Москва, Российская ФедерацияScientific Centre of Children Health, RAMS, Moscow, Russian FederationНаучный центр здоровья детей РАМН, Москва, Российская Федерация4 Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская ФедерацияScientific Centre of Children Health, RAMS, Moscow; I.M. Setchenov First Moscow State Medical University; N.I. Pirogov Russian National Research Medical University, Moscow, Russian FederationНаучный центр здоровья детей РАМН, Москва, Российская Федерация4 Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская ФедерацияScientific Centre of Children Health, RAMS, Moscow; I.M. Setchenov First Moscow State Medical University, Russian Federation201303022013121Вопросы современной педиатрии112116Copyright © Волков К.С., Нисевич Л.Л., Намазова-Баранова Л.С., Филянская Е.Г., Алексеева А.А., Баранник В.А., 20132013Волков К.С., Нисевич Л.Л., Намазова-Баранова Л.С., Филянская Е.Г., Алексеева А.А., Баранник В.А.Volkov K.S., Nisevich L.L., Namazova-Baranova L.S., Filyanskaya E.G., Alekseeva A.A., Barannik V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/377

Несмотря на постоянное внимание специалистов к проблеме кашля, она не утратила своей актуальности, поскольку причины кашля продолжают активно изучаться, уточняются диагностические алгоритмы его выявления и подходы к его лечению. В статье рассмотрены причины возникновения кашля у детей в зависимости от возраста, обосновываются направления диагностического поиска и подходы к терапии кашлевого синдрома у детей. Особое внимание уделено препаратам симптоматической терапии. Выбор лекарственного препарата зависит от характера кашля, а также от его интенсивности и других особенностей.

Despite the constant interest of the specialists to the problem of cough, it is still very topical, as the causes of cough are continued to study, the diagnostics algorithms to its detection and approaches to its treatment are defined. Different causes of cough development in children according to their age are discussed in this article, as well as the directions of the diagnostic search and approaches to the therapy of coughing syndrome in children are explained. A special emphasis is put on symptomatic drugs. The choice of drug depends on the type of cough, of its intensity and other characteristics.

 

детикашельбронхиальная астмаинфекциикоклюштерапияchildrencoughbronchial asthmainfectionswhooping coughtreatmentReferencesGeppe N. A., Snegotskaya M. N. Questions of differential diagnostics and cough therapy in children. Consilium medicum. Pediatrics. 2006; 2: pp. 19–22.Geppe N. A., Snegotskaya M. N. Questions of differential diagnostics and cough therapy in children. Consilium medicum. Pediatrics. 2006; 2: pp. 19–22.Danilyak I. G. Cough: etiology, pathophysiology, diagnostics, treatment. Pulmonology. 2001; 11 (3): pp. 33–37.Danilyak I. G. Cough: etiology, pathophysiology, diagnostics, treatment. Pulmonology. 2001; 11 (3): pp. 33–37.Ovcharenko S. I. Cough: etiology, diagnostics, treatment approaches. Consilium medicum. Pulmonology. 2006; 8 (1): pp. 3–6.Ovcharenko S. I. Cough: etiology, diagnostics, treatment approaches. Consilium medicum. Pulmonology. 2006; 8 (1): pp. 3–6.Katilov A. V., Mazulov A. V., Dmitriyev D. V. Clinical diagnostics of chronic cough in children. Clinical immunology. Allergology. Infectology. 2008; 5 (2).Katilov A. V., Mazulov A. V., Dmitriyev D. V. Clinical diagnostics of chronic cough in children. Clinical immunology. Allergology. Infectology. 2008; 5 (2).Sinopalnikov A. I., Klyachkina I. L. Differential diagnosis: cough. Consilium medicum. 2004; 6 (10): pp. 4–17.Sinopalnikov A. I., Klyachkina I. L. Differential diagnosis: cough. Consilium medicum. 2004; 6 (10): pp. 4–17.Tatochenko V. K. Practical pulmonology of children. Moscow: Medicine. 2006. 250 pp.Tatochenko V. K. Practical pulmonology of children. Moscow: Medicine. 2006. 250 pp.Kuzmenko L. G. Short unproductive cough in children. Lechashhij vrach — Practicing Doctor. 2005; 8: pp. 8–18.Kuzmenko L. G. Short unproductive cough in children. Lechashhij vrach — Practicing Doctor. 2005; 8: pp. 8–18.Volkov K. S. Peculiarities of diagnostics and new approaches to the treatment of prolonged cough in children. Author’s abstract of doctoral thesis. Moscow. 2012. 26 pp.Volkov K. S. Peculiarities of diagnostics and new approaches to the treatment of prolonged cough in children. Author’s abstract of doctoral thesis. Moscow. 2012. 26 pp.Gendon Yu. Z. Etiology of acute respiratory diseases. Vaccination. 2001; 5 (17).Gendon Yu. Z. Etiology of acute respiratory diseases. Vaccination. 2001; 5 (17).Namazova L. S., Gevorkyan A. K., Galeyeva Ye. A. Is a whooping cough a problem for Russian pediatrics and can we defeat it? Pediatricheskaja farmakologija — Pediatric pharmacology. 2006; 3 (4): pp. 6–9.Namazova L. S., Gevorkyan A. K., Galeyeva Ye. A. Is a whooping cough a problem for Russian pediatrics and can we defeat it? Pediatricheskaja farmakologija — Pediatric pharmacology. 2006; 3 (4): pp. 6–9.. Chuchalin A.G., Abrosimov V. N. Cough. Ryazan. 2000.. Chuchalin A.G., Abrosimov V. N. Cough. Ryazan. 2000.Nikiforova G. N. Sinecod — the drug of choice in treatment of short cough in children and adults. Russian Medical Journal (Deseases of respiratory tract). 2011; p. 23.Nikiforova G. N. Sinecod — the drug of choice in treatment of short cough in children and adults. Russian Medical Journal (Deseases of respiratory tract). 2011; p. 23.Miko P. The use and safety of butamirate containing drops, syrup and depot tablets in Hungary. Orv. Hetil. 2005; 27 (146 [13]): 609–612.Miko P. The use and safety of butamirate containing drops, syrup and depot tablets in Hungary. Orv. Hetil. 2005; 27 (146 [13]): 609–612.Charpin J., Weibel M. A. Comparative evaluation of the antitussive activity of butamirate citrate linctus versus clobutinol syrup. Respiration. 1990; 57 (4): 275–279.Charpin J., Weibel M. A. Comparative evaluation of the antitussive activity of butamirate citrate linctus versus clobutinol syrup. Respiration. 1990; 57 (4): 275–279.Patient’s instruction on medical use of Codelac Broncho РУ № ЛСР- 008115/08, Codelac Broncho with Thyme РУ № ЛСР-006772/09.Patient’s instruction on medical use of Codelac Broncho РУ № ЛСР- 008115/08, Codelac Broncho with Thyme РУ № ЛСР-006772/09.Duax W. L., Ghosh D., Pletnev V. Steroid dehydrogenase structures, mechanism of action, and disease. Vitam. Horm. 2000; 58: 121–148.Duax W. L., Ghosh D., Pletnev V. Steroid dehydrogenase structures, mechanism of action, and disease. Vitam. Horm. 2000; 58: 121–148.Effects and cost of glycyrrhizin in the treatment of upper respiratory tract infections in members of the Japanese maritime self-defense force: preliminary report of a prospective, randomized, double-blind, controlled, parallel-group, alternate-day treatment assignment clinical trial. Therap. Res. Clin. Exp. 2004; 65 (1): 26–33.Effects and cost of glycyrrhizin in the treatment of upper respiratory tract infections in members of the Japanese maritime self-defense force: preliminary report of a prospective, randomized, double-blind, controlled, parallel-group, alternate-day treatment assignment clinical trial. Therap. Res. Clin. Exp. 2004; 65 (1): 26–33.Fiore C., Eisenhut M., Krausse R., Ragazzi E., Pellati D., Armanini D., Bielenberg. Antiviral effects of Glycyrrhiza species. J. Phytother Res. 2008; 22 (2): 141–148.Fiore C., Eisenhut M., Krausse R., Ragazzi E., Pellati D., Armanini D., Bielenberg. Antiviral effects of Glycyrrhiza species. J. Phytother Res. 2008; 22 (2): 141–148.Phosphogliv. Treatment and liver protection. Manual for doctors. Edited by Uchaykin V. F. Moscow: State Institution V. N. Orekhovic h Scientific Research Institute of Biomedical Chemistry, Russian Academy of Medical Sciences. 2004.Phosphogliv. Treatment and liver protection. Manual for doctors. Edited by Uchaykin V. F. Moscow: State Institution V. N. Orekhovic h Scientific Research Institute of Biomedical Chemistry, Russian Academy of Medical Sciences. 2004.Wienkotter N., Begrow F., Kinzinger U. et al. The effect of thyme extract on beta2-receptors and mucociliary clearance. Planta Med. 2007; 73 (7): 629–635.Wienkotter N., Begrow F., Kinzinger U. et al. The effect of thyme extract on beta2-receptors and mucociliary clearance. Planta Med. 2007; 73 (7): 629–635.Report of a clinical study “Open, randomized, clinical study, phase III on comparison of efficacy and safety of drugs Codelac Broncho with Thyme and Ambrobene in complex therapy in children with underproductive cough during acute diseases”. Moscow: I. M. Sechenov Moscow Medical Academy. 2009. 64 pp.Report of a clinical study “Open, randomized, clinical study, phase III on comparison of efficacy and safety of drugs Codelac Broncho with Thyme and Ambrobene in complex therapy in children with underproductive cough during acute diseases”. Moscow: I. M. Sechenov Moscow Medical Academy. 2009. 64 pp.Mizernitskiy Yu. L., Melnikova I. M., Loginevskaya Ya. V., Batorzhgalova B.Ts., Kozlova L. A. Clinical efficacy of combined mucoactive expectorative therapy in children with acute respiratory infections of low parts respiratory tract. Lechashhij vrach — Practicing Doctor. 2011; 11: pp. 107–112.Mizernitskiy Yu. L., Melnikova I. M., Loginevskaya Ya. V., Batorzhgalova B.Ts., Kozlova L. A. Clinical efficacy of combined mucoactive expectorative therapy in children with acute respiratory infections of low parts respiratory tract. Lechashhij vrach — Practicing Doctor. 2011; 11: pp. 107–112.Zryachkin N., Makarova O., Guzhinova V., Koptyayeva G., Filimonova V., Zaytseva G., Karalskaya Zh. Complex therapy of acute bronchitis in children. Doctor. 2012; 8: pp. 74–76.Zryachkin N., Makarova O., Guzhinova V., Koptyayeva G., Filimonova V., Zaytseva G., Karalskaya Zh. Complex therapy of acute bronchitis in children. Doctor. 2012; 8: pp. 74–76.Zaytseva S. V., Lokshina E. E., Zaytseva O. V. et al. Rational choice of drugs in children with acute diseases of low parts of respiratory tract. Pediatriya. Zhurnal imeni G. N. Speranskogo — Pediatrics. 2012; 5: pp. 79–85Zaytseva S. V., Lokshina E. E., Zaytseva O. V. et al. Rational choice of drugs in children with acute diseases of low parts of respiratory tract. Pediatriya. Zhurnal imeni G. N. Speranskogo — Pediatrics. 2012; 5: pp. 79–85

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