海岛地区慢性咳嗽32例经验性诊治分析

Analysis of empirical diagnosis and treatment of 32 chronic cough patients on certain islands

目的探讨海岛地区慢性咳嗽患者经验性治疗的方法和疗效。方法符合诊断标准的慢性咳嗽患者32例,根据慢性咳嗽的病因和临床特征制定经验性治疗方案,单独或联合应用复方甲氧那明、糖皮质激素、质子泵抑制剂等治疗,并在后续治疗中覆盖可能的病因。结果 32例慢性咳嗽患者初诊阶段治疗有效率71.9%,随访阶段治疗有效率87.5%。结论慢性咳嗽的经验性治疗成功率高,是海岛巡诊中咳嗽治疗的可靠方法。

Objective To investigate the methods and therapeutic effects of empirical treatment on the patients with chronic cough in certain islands.Methods There were 32 cases of chronic cough conforming to diagnostic standards.In accordance with the etiologic distribution and clinical features of the disease,empirical treatment profile was developed.In the single drug therapy or combine therapy,compound methoxyphenamine,glucocorticoid and proton pump inhibitor were used for the treatment.The other cough causes ware covered in the follow-up treatment.Possible etiologic factors were also considered in the treatment followed.Results Effective rate in the initial treatment of 32 patients with chronic cough was 71.9%,and the effective rate in the follow-up was 87.5%.Conclusion The rate of success for empirical treatment of chronic cough was high,and it seemed to be a reliable method for the treatment of chronic cough during the medical tour on islands.