咳嗽变异性哮喘33例临床分析  

Clinical analysis of 33 cases with cough variant asthma

作　　者：陈珍旭[1] 李连琨[1] 

机构地区：[1]武警四川总队医院成都分院内二科,成都610041

出　　处：《中华肺部疾病杂志（电子版）》2010年第4期35-36,共2页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的探讨咳嗽变异性哮喘的诊断和治疗情况。方法回顾性研究33例咳嗽变异性患者的临床特点,诊疗方法和治疗效果。结果咳嗽变异性哮喘33例患者中,20例(60.6%)于停用抗生素、吸入舒利迭干粉剂1周后咳嗽症状消失,10例(30.3%)于2周后消失,另3例(9.1%)延长于3个月后咳嗽症状消失。结论咳嗽变异性哮喘常以咳嗽为唯一症状,咳嗽以凌晨和(或)夜间发作明显,支气管激发/舒张试验阳性,支气管扩张剂和糖皮质激素治疗有效。该病易误诊,正确的诊断和激素治疗有利于预后。Objective To study the diagnosis and treatment of cough variant asthma. Methods Clinical characters, diagnosis and curative effect in 33 cases with cough variant asthma were retrospectively studied. Results Among 33 cases, the symptom of cough disappeared in 20 cases （60.6%） since one week after antibiotics stopped and seretide inhaled, in 10 cases（30.3% ） since two weeks after that and in another 3 cases（9.1% ） since 3 months after that. Conclusions Patients with cough variant asthma, for whom the results of bronchial provocation or bronchodilation test were positive, usually suffered from cough without any other symptoms. The cough occurred more frequently at night or early in the morning, and relieved by using bronchodilator and glucocorticoid. Cough variant asthma was common in clinic which was easy to be misdiagnosed. Correct diagnosis and treatment of glueocorticosteroid and bronchodilator might be effective in preventing patients with cough variant asthma from typical asthma.

关 键 词：咳嗽变异性哮喘 咳嗽 误诊 临床分析 

分 类 号：R562.2[医药卫生—呼吸系统]