慢性咳嗽患者60例病因分析  

The etiological analysis for 60 cases of chronic cough

作　　者：曾志伟[1] 何永红[1] 高爽[1] 梁敏[1] 

机构地区：[1]广东省广州市白云区人民医院,510500

出　　处：《河北医药》2006年第6期459-460,共2页Hebei Medical Journal

摘　　要：目的探讨慢性咳嗽的病因诊断及其分布。方法通过询问病史、体格检查、胸部X线、肺功能、食道pH监测等检查,明确病因,并对病因分类,针对病因进行特异性治疗。结果60例慢性咳嗽病因分析发现,鼻后滴漏综合征为35%(21/60),胃食管反流为30%(2/60),变异型哮喘为26.7%(16/60),嗜酸细胞性支气管炎为3.3%(2/60),双病因为5%(3/60),病因未明者为5%(3/60)。经针对病因特异性治疗后,94.7%(54/57)患者咳嗽明显减轻或消失。结论慢性咳嗽病因主要为鼻后滴漏综合征、胃食管反流、变异型哮喘、嗜酸细胞性支气管炎,占总病因的95%;询问病史及行试验性诊断治疗有效是确诊病因的重要环节。Objective To investigate the etiological diagnosis and distribution of chronic cough.Methods The causes of chronic cough was observed by asking disease history,physical examination, X ray test,detecting lung function and pH in esophagus.Results Among the 60 patients,the causes included postnasal drip syndrome （21/50, 35 % ）, gastroesophaseal reflux （ 18/50,30 % ）, cough variant asthma （ 16/50,26.7 % ）, eosinophilic bronchitis （ 2/50, 3.3%） and two causes （3/50,5%）. There were 3 patients whose causes of disease were not found. After active treatment based on the diagnosis, cough was improved in 54 patients （94.7%）. Conclusion The postnasal drip syndrome, gastroesophaseal reflux, cough variant asthma and eosinophiloc bronchitis are major causes of chronic cough. asking disease history and a positive response to the specific therapy is essential to a definite diagnosis.

关 键 词：慢性咳嗽 病因 分析 

分 类 号：R441.5[医药卫生—诊断学] R562.21[医药卫生—临床医学]