鼻咽喉科疾病致小儿慢性咳嗽118例患儿临床资料回顾性分析  

Clinical data of 118 children with chronic cough induced by nasopharyngeal diseases:a retrospective analysis

作　　者：刘丽群[1] 王进东[1] 

机构地区：[1]唐山市妇幼保健院

出　　处：《中国妇幼保健》2018年第24期5827-5829,共3页Maternal and Child Health Care of China

基　　金：河北省医学科学研究重点课题计划(20160834)

摘　　要：目的回顾性分析鼻咽喉科疾病致小儿慢性咳嗽患儿临床资料,为小儿慢性咳嗽的诊断与治疗提供理论依据。方法选取2015年12月-2017年12月于该院确诊的118例鼻咽喉科疾病致小儿慢性咳嗽患儿为研究对象,对其临床资料进行回顾性分析,统计所有患儿鼻咽喉科疾病种类,不同年龄、性别以及病程患儿的疾病种类分布,采用描述性流行病学分析法进行数据分析比较。结果所有患儿均为单种鼻咽喉科疾病种类,其中咳嗽变异型哮喘(CVA)45例、慢性鼻炎(CR)40例、其他18例和胃-食管反流性咳嗽(GERC)15例;不同年龄分布中,<1岁患儿其他比例最高,为40.00%,1~3岁患儿CVA比例最高,为47.62%,3~6岁患儿CVA比例最高,为42.11%,6~14岁CR比例最高,为42.85%;男性患儿CVA比例最高,为38.33%,女性患儿CVA比例最高,为37.93%病程<1月中CVA比例最高,为42.42%,病程1~3月中CR比例最高,为40.43%,病程>3月中CVA比例最高,为36.84%。结论CVA、CR、GERC等鼻咽喉科疾病容易导致小儿慢性咳嗽,不同年龄、性别、病程病因有所差异。Objective To retrospectively analyze the clinical data of children with chronic cough induced by nasopharyngeal diseases,provide a theoretical basis for diagnosis and treatment of chronic cough in children. Methods A total of 118 children diagnosed as chronic cough induced by nasopharyngeal diseases in Tangshan Municipal Maternal and Child Health Care Hospital from December 2015 to December2017 were enrolled,the clinical data were retrospectively analyzed. The types of nasopharyngeal diseases,disease distributions in children of different ages,genders,and courses of disease were analyzed statistically. Descriptive epidemiological analysis was used for data analysis and comparison. Results The type of nasopharyngeal diseases among the children was unitary,the numbers of children with cough variant asthma( CVA),chronic rhinitis( CR),other diseases,and gastro-esophageal reflux cough( GERC) were 45,40,18,and 15,respectively.The incidence rate of other diseases among the children under one year was the highest( 40. 00%),the incidence rate of CVA among the children aged 1-3 years old was the highest( 47. 62%),the incidence rate of CVA among the children aged 3-6 years old was the highest( 42. 11%),the incidence rate of CR among the children aged 6-14 years old was the highest( 42. 85%). The incidence rates of CVA in male and female children were the highest,which were 38. 33% and 37. 93%,respectively. The incidence rate of CVA among the children under one month was the highest( 42. 42%),the incidence rate of CR among the children aged 1-3 months old was the highest( 40. 43%),the incidence rate of CVA among the children more than 3 months old was the highest( 36. 84%). Conclusion CVA,CR,GERC,and other nasopharyngeal diseases can cause chronic cough in children easily,and the diseases are various in children of different age,genders,and duration of the disease.

关 键 词：鼻咽喉科疾病 小儿慢性咳嗽 咳嗽变异型哮喘 慢性鼻炎 胃-食管反流性咳嗽 

分 类 号：R179[医药卫生—妇幼卫生保健]