medicina57巻7号

2020年06月発行

特集 運動・スポーツ×内科—内科医に求められるスポーツ医学とは 外来で遭遇する運動愛好家からの声

走ると咳が出ます

著者： 金子正博¹

所属機関： ¹神戸市立医療センター西市民病院呼吸器内科

ページ範囲：P.1074 - P.1078

Point
◎運動で誘発される咳嗽では，運動誘発性気管支収縮（EIB）の可能性を考える．
◎EIBはコントロール不十分あるいは未診断/未治療の喘息症例で多くみられる．
◎EIBは換気量増加により気道表面が高浸透圧となることで誘発される．
◎EIBの予防として，十分なフォーミングアップとともに，運動前の短時間作用性β₂刺激薬（SABA）吸入が推奨されている．
◎治療に禁止物質を用いる場合は治療使用特例（TUE）の申請が必要となるので，β₂刺激薬の投与には注意が必要である．

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