支气管激发试验在诊断咳嗽变异型哮喘的临床应用  

The Clinical Value of the Bronchial Provocation Test on the Diagnosis of Cough-variant Asthma

作　　者：丁彦[1] 谢菲[1] 

机构地区：[1]赣南医学院第一附属医院呼吸科,江西赣州341000

出　　处：《赣南医学院学报》2009年第2期182-183,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨支气管激发试验在咳嗽变异型哮喘诊断中的临床价值。方法:46例以咳嗽及无明显原因胸闷为主要临床表现疑诊支气管哮喘患者,吸入组胺做支气管激发试验,测定其气道反应性。结果:46例患者中组胺支气管激发试验阳性33例,阳性率71.73%。33例气道高反应性患者中重度3例,占9.09%;中度7例,占21.21%;轻度10例,占30.3%;极轻度13例,占39.39%。结论:通过支气管激发试验可对咳嗽变异型哮喘作出早期诊断,气道高反应性是诊断哮喘的必备条件。Objective： To explore the clinical value of the bronchial provocation test on the diagnosis of cough-variant asthma. Method ： Forty-six bronchial asthma patients, whose clinical symptoms are coughing and sense of suppression in the chest, inhale histamine in the experiment and then the reflex response of bronchial tubes are measured. Result： Among 46 patients in the experiment, 33 patients have the positive reaction, and the proportion of the positive reaction is 71.73%. Among those 33 patients of bronchial hyper-responsiveness, 3 patients＇ reaction is serious, taking up 9.09% ; 7 are moderate, taking up 21.21% ; 10 are slight, taking up 30.3% ; and 13 are extremely slight, taking up 39.39%. Conclusion： Cough-variant asthma can be diagnosed earlier through the bronchial provocation test. Bronchial hyper-responsiveness is the prerequisite in the diagnose of asthma.

关 键 词：支气管高反应性 哮喘 支气管激发试验 组胺 

分 类 号：R562.2[医药卫生—呼吸系统]