氨茶碱鉴别咳嗽变异性哮喘的临床意义

Clinical significance of aminophylline in identification of cough variant asthma

目的:探讨氨茶碱在急诊科鉴别咳嗽变异性哮喘中的临床意义,为临床急诊医生进一步指引患者进行专科治疗提供一定的客观依据。方法:将120例诊断为慢性咳嗽的患者随机分为两组,每组60例,观察组在使用抗生素的基础上配合使用氨茶碱,对照组使用抗生素,两组均进行相应的常规治疗,观察氨茶碱组与其他3种检测方法的阳性率,与抗生素治疗比较疗效判断指标。结果:氨茶碱推测性诊断的阳性率是51.7%。结论:氨茶碱能够缓解咳嗽变异性哮喘症状,为临床医生的诊断思路以及患者早期进行治疗提供帮助。

Objective： To provide clinical emergency doctors with some objective basis of guiding patients in receiving specialty treatment by investigating the clinical significance of aminophylline in the identification of cough variant asthma in the emergency department. Methods： One hundred and twenty cases of patients diagnosed as chronic cough were randomly divided into two groups of 60 patients each. The observation group received additional aminophylline on the basis of antibiotics while the control group received antibiotics. Both groups received the conventional treatment. The positive rate of the aminophylline group compared with those of the other three test methods was observed. The curative effects indicators of the aminophylline group were compared with those of the antibiotics group. Results： The positive rate of speculated diagnosis of aminophylline was 51.7%. Conclusion： Aminophylline can relieve the symptoms of cough variant asthma and help clinicians with the diagnosis thinking and early treatment of patients.