小儿咳嗽变异性哮喘临床相关因素分析

Analysis of Clinical Factors Related to Children with Cough Variant Asthma

目的研究小儿咳嗽变异性哮喘的病因、特点、诊治等临床相关因素,减少发作,促进临床康复。方法对122例小儿咳嗽变异性哮喘的病因,临床特点等资料进行分析。结果小儿咳嗽变异性哮喘与反复呼吸道感染、空气污染、过敏体质、家族史、情绪刺激、气候因素有关,抗哮喘(糖皮质激素吸入)治疗有效。结论对长期咳嗽有相关诱因,临床呈发作性,抗生素无效,而糖皮质激素吸入治疗有效者,并排除其它原因的应考虑小儿咳嗽变异性哮喘,治疗以抗哮喘(糖皮质激素吸入)为主。

Objective To study the clinical factors of children with cough variant asthma(CVA)such as the reasons,characters,diagnosis and therapy,in order to reduce the incidence rate and improve the rehabilitation. Methods To analyze the factors such as the reasons, clinical characters and so on,of 122 children with CVA. Result CVA was related to repeated respiratory tract infection(RRTI),air pollution,allergic constitution,family history,stimulation of emotion and climatic factors.It was efficient for anti-asthma (inhalation of glucocorticoid). Conclusion When the children caught a chronic and paroxysmal cough,it is efficient for anti-asthma and not for antibiotic.Doctors should diagnose the illness as CVA after exclusing other diseases.It could reduce the incidence of CVA when exclusing the related reasons and increasing resistance.