PDF(Pubmed)
Abstract：
Exercise-induced bronchoconstriction (EIB) is characterized by the narrowing of airways during or after physical activity, leading to symptoms such as wheezing, coughing, and shortness of breath. Distinguishing between EIB and exercise-induced asthma (EIA) is essential, given their divergent therapeutic and prognostic considerations. EIB has been increasingly recognized as a significant concern in pediatric athletes. Moreover, studies indicate a noteworthy prevalence of EIB in children with atopic predispositions, unveiling a potential link between allergic sensitivities and exercise-induced respiratory symptoms, underpinned by an inflammatory reaction caused by mechanical, environmental, and genetic factors. Holistic management of EIB in children necessitates a correct diagnosis and a combination of pharmacological and non-pharmacological interventions. This review delves into the latest evidence concerning EIB in the pediatric population, exploring its associations with atopy and sports, and emphasizing the appropriate diagnostic and therapeutic approaches by highlighting various clinical scenarios.
摘要：
运动性支气管收缩（EIB）的特征是在身体活动期间或之后气道变窄，导致喘息等症状，咳嗽,呼吸急促.区分EIB和运动诱发哮喘（EIA）至关重要，鉴于他们不同的治疗和预后考虑。EIB越来越被认为是儿科运动员的重要关注点。此外，研究表明，在患有特应性易感性的儿童中，EIB的患病率值得注意，揭示了过敏敏感性和运动引起的呼吸道症状之间的潜在联系，以机械引起的炎症反应为基础，环境,和遗传因素。儿童EIB的整体管理需要正确的诊断以及药物和非药物干预的组合。这篇综述深入探讨了关于儿科人群EIB的最新证据。探索其与特应性和体育的关联，并通过强调各种临床方案来强调适当的诊断和治疗方法。
