咳嗽变异性哮喘92例的诊治分析  

The clinical analysis of cough variant asthma in 92 cases

作　　者：张莉[1] 柴文戍[1] 赵丽娟[1] 朱勇[1] 张鹏[1] 

机构地区：[1]辽宁医学院附属第三医院呼吸科,辽宁锦州121000

出　　处：《重庆医学》2012年第19期1929-1930,共2页Chongqing medicine

基　　金：辽宁省教育厅科学技术研究项目(2009A465)

摘　　要：目的分析咳嗽变异性哮喘(CVA)的临床诊断和治疗。方法根据检查结果及治疗反应,分析92例咳嗽变异性哮喘患者的临床特征。结果 92例CVA的误诊率为82.6%,其中急性气管支气管炎、慢性咽炎、慢性气管支气管炎,为易被误诊的前3位疾病。经治疗后87例(94.6%)患者为显效,5例(5.4%)患者为有效,有效率100.0%。结论提高对CVA的认识,扩展对咳嗽病因的鉴别诊断思路,应用吸入小剂量糖皮质激素和β受体激动剂可取得良好的疗效。Objective To observe diagnosis and treatment of clinical cough variability asthma（CVA）. Methods According to the test results and response to treatment, we analyzed clinical characteristics of 92 cases with CVA. Results The misdiagnosis rate of CVA was 82.6 %. The first three misdiagnosis diseases were acute,chronic bronchitis and chronic pharyngitis. After treatment, there were 87 cases （94.6%） with marked effect, 5 cases （5.4 %） with effect, the total curitive rate was 100.0 % Conclusion Improving the knowledge for the clinical characteristics of CVA,the inhalation of small dosage of glucocorticoid and -adrenergic receptor agonists can get good effects.

关 键 词：咳嗽变异性哮喘 沙美特罗替卡松 诊断 治疗 

分 类 号：R562.25[医药卫生—呼吸系统]