咳嗽变异型哮喘31例临床分析  

Clinical Analysis of 31 cases of cough variation asthma

作　　者：栾巍[1] 赵立强[1] 

机构地区：[1]中国人民解放军第253医院呼吸内科,内蒙古呼和浩特010051

出　　处：《临床肺科杂志》2012年第2期234-235,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨咳嗽变异型哮喘(cough variation asthma,CVA)的诊治特点。方法对诊断明确的31例患者进行回顾性分析。结果 CVA主要症状为慢性咳嗽,80.6%表现为夜间刺激性咳嗽(25例),83.9%有季节性加重(26例),其中,84.6%表现为夏秋季节加重(22例);12.9%合并胃食管反流性咳嗽(GERC)(4例),70.9%合并变应性鼻炎(22例),12.9%合并鼻窦炎(4例)。其主要治疗方法同哮喘,58.1%患者(18例)咳嗽症状在治疗10天后有部分改善,但完全缓解则需吸入糖皮质激素60天以上。结论了解CVA的临床特点可以提高诊断和治疗效率。Objective To explore the characteristics of cough variation asthma （CVA）. Methods The clinical data of 31 cases of CVA were analysed retrospectively. Results The main symptom of CVA seemed to be chronic cough which displayed more nocturnal irritable coughs （25 cases, 80. 6% ） ;26 cases showed seasonal variations （83.9%） ;and 22 cases aggravated in the summer and autumn （84. 6% ） ;and 4 cases were complicated with GERC （ 12. 9% ） ;22 cases were complicated with atopic rhinitis （70. 9% ） ;4 cases were complicated with sinusitis （ 12. 9% ）. The treatment of CVA was the same as asthma. The symptom of the 18 patients partly improved after 10 days treatment（58. 1% ）, but complete remission needed to inhale glucocorticoid for 60 days. Conclusions Understanding of the clinical features of CVA can improve the efficiency of diagnosis and treatment.

关 键 词：慢性咳嗽 咳嗽变异型哮喘 诊断 治疗 

分 类 号：R562.25[医药卫生—呼吸系统]