成人慢性咳嗽临床诊治探讨(附78例病例分析)

Discussion of the diagnosis and treatment of 78 adult patients suffering from chronic persistent cough

目的为了临床医师在诊治慢性咳嗽病因时有所借鉴和帮助。方法对病因诊断明确、治疗有效的78例慢性咳嗽患者进行了回顾性临床分析。结果本文78例慢性咳嗽患者的病因依次为慢性咽炎(23%),鼻后滴漏综合症(20.5%),气道变应性咳嗽(19.2%),咳嗽变异性哮喘(16.7%),胃食管返流(10.3%),药物诱发(7.7%),嗜酸细胞性支气管炎(2.6%)。针对病因治疗后,全部患者的咳嗽症状明显减轻,或消失。结论规范慢性咳嗽的诊断流程有助于提高慢性咳嗽病因正确诊断率。

Objective To provide a reference for clinicians in the diagnosis of the cause of chronic cough. Methods Retrospective clinical analysis of clear, effective treatment of 78 cases of patients with chronic cough was performed. Results The causes of 78 cases of chronic cough chronic pharyngitis, postnasal drip syndrome, allergic airway cough, cough variant asthma, gastro-esophageal reflux, drug factors and eosinophilic bronchitis account for 23%, 20. 5%, 19.2%, 16.7%, 10. 3%, 7.7%, 2.6%. After the specific treatments aiming at different causes, the coughing symptom of all patients was either significantly alleviated or even disappeared. Conchlsion To standardize diagnosis flow of chronic cough, it is helpful to improve the rate of correct etiologic diagnosis of chronic cough.