鼻后滴漏综合征致儿童慢性咳嗽96例临床分析  

Clinical analysis of chronic cough caused by postnasal drip syndrome in 96 children

作　　者：张春凤 

机构地区：[1]广东省潮州市湘桥区人民医院耳鼻喉科,521000

出　　处：《临床医学》2017年第11期26-28,共3页Clinical Medicine

摘　　要：目的探讨鼻后滴漏综合征致儿童慢性咳嗽的原因及诊治。方法回顾性分析以鼻后滴漏综合征为主要临床特点的96例儿童慢性咳嗽患者的临床资料,通过询问患者病史、体格检查、胸部X线检查、肺功能监测等检查,明确病因。将96例儿童慢性咳嗽患者随机分为观察组(n=48)和对照组(n=48)。对照组患者给予常规的抗感染治疗,观察组患者给予包括抗炎、抗变态反应、通畅鼻窦、引流、解除鼻腔阻塞等针对病因的综合治疗。结果治疗后1个月及3个月,两组的咽异物感、鼻塞、慢性咳嗽等临床症状均改善,观察组改善率分别为81.25%(39/48)、95.83%(46/48),均优于对照组[54.17%(26/48)、75.00%(36/48)](P<0.05);观察组的治疗有效率为[97.92%(47/48)],高于对照组[70.83%(34/48)](P<0.05)。结论鼻后滴漏综合征是导致儿童慢性咳嗽的病因之一,鼻后滴漏综合征致儿童慢性咳嗽的主要病因有急慢性鼻、鼻窦炎、变应性鼻炎及急性腺样体炎等,为减少临床误诊需合理的检查及专科会诊,针对病因的综合治疗方案可有效提高临床的治疗效果。Objective To investigate the reasons, diagnosis and treatment of chronic cough caused by postnasal drip in children. Methods The clinical data of 96 children with chronic cough caused by postnasal drip synrome as the main clinical features were respectively analyzed. By asking the patien＇ s medical history, physical examination, chest X-ray examination, pulmonary function monitoring to determine the cause of the disease. The children with chronic cough were randomly divided into obser- vation group （n = 48 ） and control group （n = 48 ）. The patients in the control group were given conven- tional anti-infection treatment, and the patients in the observation group were given comprehensive treat- ment including anti-inflammation, anti-allergic reaction, unobstructed nasal sinus, drainage and nasal obstruction. Results After treatment for 1 month and 3 months, the pharyngeal foreign body sensation, nasal obstruction, chronic cough and other clinical symptoms of the patients in the two groups were im- proved; the rates of improvement in obsrvation group respectively were 81.25% （39/48）, 95.83% （46/48）, which were significantly better than those of the control group [ 54. 17 % （26/48）, 75 % （36/ 48 ） ] （P 〈 0. 05 ） ; the effective rate of treatment group was [ 97.92% （47/48） ], which was significant- ly higher than that of the control group [ （70. 83% ） （ 34/48 ） ] （ P 〈 0.05 ）. Conclusion Postnasal drip syndrome is one of the leading causes of chronic cough in children, postnasal drip syndrome caused chronic cough in children with acute and chronic paranasal sinusitis, allergic rhinitis and acute adenoid- itis. In order to reduce the required inspection and specialist reasonable consultation for comprehensive treatment of clinical misdiagnosis, etiology can effectively improve the clinical treatment effect.

关 键 词：鼻后滴漏综合征 慢性咳嗽 因素分析 诊治 

分 类 号：R765[医药卫生—耳鼻咽喉科]