慢性咳嗽138例的诊治经验  

Clincal diagnosis and treatment of experience for 182 cases Chronic Cough

作　　者：李楠[1] 刘昌起[2] 林红伍[1] 韩力[1] 

机构地区：[1]天津市第三医院,天津300250 [2]天津市胸科医院

出　　处：《海南医学》2006年第12期3-5,共3页Hainan Medical Journal

摘　　要：目的本文对天津市慢性咳嗽的病因及其治疗进行了前瞻性研究。方法选择了2005年4月至2006年3月,连续356例在我院呼吸内科咳嗽门诊以咳嗽症状就诊的病人,根据咳嗽持续时间的长短而分为急性咳嗽(<3周)、亚急性咳嗽(3-8周)和慢性咳嗽(≥8周)。采用Brightling等改进的慢性咳嗽病因解剖学诊断程序,对连续138例,病程在8周以上的慢性咳嗽患者进行病因初步诊断,并通过针对性治疗予以证实。结果在138例慢性咳嗽患者中,咳嗽变异型哮喘占慢性咳嗽的37.7%,鼻后滴漏综合征占13.0%,胃-食管反流性咳嗽占7.2%,COPD占18.1%,血管紧张素酶抑制剂相关咳嗽占7.9%。肺癌占9.4%;咳嗽变异型哮喘、鼻后滴漏综合征和胃-食管反流性咳嗽,给予针对性治疗,症状缓解率可达90%以上。结论咳嗽变异型哮喘和鼻后滴漏综合征是天津市慢性咳嗽的常见病因且临床治疗效果好。Objective To study the causes and treatment for chronic cough in Tianjin. Methods 356 cases with cough seen at out-patient-department of respiratory and internal medicine from Apr. 2005 to Mar. 2006 had been chosen for study. They were grouped as acute cough （〈3 weeks） and chronic cough （≥8 weeks） based on the duration the cough lasted. 138 cases with chronic cough were analysed for the causes according to the diagnostic process modified by Brightling, et al. Causes of chronic cough were confirmed by our aimed treatment. Results of 138 patients with chronic cough, 37.7% had cough variant asthma; 13.0% had postnasal drip syndrome; 7.2% had gastroesephageal reflux disease; 18.1% had COPD. 7.9% had ACEI associated cough. 9.4% Lung cancer. 90% of the symptoms （CVA, PNDS, GERD） could be relieved after causative treatment. Conclusions Cough variant asthma and postnasal drip syndrome are among the important causes of chronic cough, and get well therapy.

关 键 词：慢性咳嗽 咳嗽变异型哮喘 鼻后滴漏综合征 

分 类 号：R441.5[医药卫生—诊断学]