中医药防治上气道咳嗽综合征(UACS)的临床研究进展  

Traditional Chinese Medicine for Prevention and Treatment of Upper Airway Cough Syndrome Clinical Research Progress

作　　者：申秀云[1] 赵雁力[2] 高嘉骏[1] 肖绍坚[2] 

机构地区：[1]福建中医药大学中医学院中医基础理论学科,福州350122 [2]福建中医药大学国医堂第二门诊部,福州350122

出　　处：《光明中医》2012年第8期1706-1711,共6页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：鼻后滴漏综合征(PNDs),亦称上气道咳嗽综合征(UACS),是鼻部疾病引起分泌物倒流鼻后和咽喉等部位,直接或间接刺激咳嗽感受器,导致以咳嗽为主要表现的综合征。这种分泌物的长期慢性刺激可引起咳嗽感受器的继发性炎症及相关症状,因此UACS/PNDs是引起慢性咳嗽最常见病因之一。据文献统计,其发病率占慢性咳嗽的41%。[2]UACS/PNDs既不是独立性疾病,也没有明确的病变范围,临床上不易被呼吸内科医师所认识,而五官科医师尤多侧重治疗鼻、咽喉局部病变,故该病症易于误诊、误治。除了鼻部疾病外,UACS/PNDs还常与咽喉部、气管食管的疾病有关,如变应性或非变应性咽炎、喉炎、咽喉部新生物、慢性扁桃体炎等。作者就近年来中医学者对UACS病名的界定、病因病机与证型的的研究、运用中医中药治疗UACS所取得的长足进展进行了详细的综述。并指出现今研究中所存在的问题,以及对今后的研究提出了合理化建议与方向。Postnasal drip syndrome（PNDs） ,Also known as upper airway cough syndrome（UACS） ,Nasal secretions reflux disease caused by posterior nasal and throat, Direct or indirect stimulation of the cough receptors, leading to cough as the main manifestations of the syndrome. The secretions of chronic stimulation can cause cough receptors of the secondary to inflammation and associated symptoms, so UACS / PNDs is caused by one of the most common causes of chronic cough. According to the statistics, the incidence rate of 41% chronic cough. UACS / PNDs is not independent of disease, there is no clear lesions, clinically less susceptible to respiratory physicians recognized, and ENT physicians especially focuses on the treatment of nasal, pharyngeal local lesion, so the disease is easily to be misdiagnosed, and mistreatment. In addition to nasal disease, UACS ! PNDs is also often associated with the throat, trachea esophageal diseases, such as allergic or non-allergic pharyngitis, laryngitis, throat new biological, chronic tonsillitis. The author in recent years Chinese scholars on the UACS name of disease definition, etiology and pathogenesis and syndrome type of traditional Chinese medicine in the treatment of UACS, using the obtained great progress were reviewed in detail. And points out the problems existing in current research, and future research put forward reasonable suggestions and directions.

关 键 词：鼻后滴漏综合征 上气道咳嗽综合征 中医药防治 临床研究 

分 类 号：R259[医药卫生—中西医结合]