儿童慢性咳嗽186例病因分析

Analysis of the etiologies of 186 cases of chronic cough in children

目的:探讨小儿慢性咳嗽的病因,为针对性治疗提供依据。方法:通过详细的病史、体格检查、相关辅助检查和治疗后的反馈诊断等,对慢性咳嗽的病因进行探讨。结果:对收治186例慢性咳嗽患儿进行分析,结果哮喘相关性咳嗽占36.56%,反复呼吸道感染占23.66%,上气道咳嗽综合征占13.98%,支原体感染占10.21%,胃食管反流占4.84%,其他原因占10.75%。经过针对病因的特异性治疗,大部分患儿咳嗽症状明显减轻或消失。结论:儿童慢性咳嗽常见病因有哮喘相关性咳嗽、反复呼吸道感染、上气道咳嗽综合征、支原体感染,针对病因治疗是临床疗效的关键。

Objective To investigate the etiologies of chronic cough in children, in order to provide a basis for targeted therapy. Methods Through detailed medical history, physical examination, relevant assists examining the diagnosis of feedback, and so on, the etiologies of chronic cough are explored. Results Treated 186 cases of chronic cough in children were analyzed. Asthma - related cough accounted for 36. 56 percent, recurrent respiratory infections for 23. 66 percent, upper airway cough syndrome for 13. 98 percent, myeoplasma infection for 10. 21percent, gastroesophageal reflux for 4. 84 percent, and other causes for 10. 75 percent. After specific treatment according to the etiologies, most children＇s cough symptoms alleviated or disappeared. Conclusions the common etiologies of chronic cough in children are Asthma - related cough, recurrent respiratory infections, upper airway cough syndrome, mycoplasma infection. The key of clinical treatment is to treat accordingly on the basis of causes.