儿童鼻源性疾病84例就诊原因分析

Analysing the Reason Rhinogenous Disease on Children

目的:通过对儿童鼻源性疾病的就诊原因分析和探讨,为临床的有效诊断提供依据。方法:收集所有患儿临床资料进行筛选和比较,针对询诊资料记录不同年龄段患儿就诊原因,比较所有患儿确诊疾病类型和比例。结果:因鼻部不适就诊患儿共116例(58%),非鼻部不适就诊患儿84例(42%),两组比较无显著差异(P>0.05)。不同年龄段患儿的就诊原因无显著差异,而鼻涕、鼻塞是鼻部不适的主要就诊原因,睡眠障碍和咽部不适是非鼻部不适的主要就诊原因,较其它原因比较具有显著差异(P<0.05)。结论:应参照就诊原因给予临床提示,以避免单纯考虑常规病变造成误诊和漏诊,如有必要,行CT检测以确定病变情况。

Objective： To analyze and discuss the treatment of nose-borne diseases in children, for providing the basis for effective clinical diagnosis. Method： Collecteed clinical data and compared the children＇s clinical information, recorded the different ages on children with treatment reasons and compared the disease type and proportion of all the children. Result： Children＇ s treatment due to nasal discomfort had 116 cases （58%）, due to non-nasal discomfort had 84 cases （42%） , There＇s no significant difference in two groups, the treatment reason of different ages had no significant difference （ P〉0.05 }. Nasal mucus and nasao congestion were the main treatment causes of nasal discomfort, sleep disorders and throat discomfort were the main treatment causes of non-nasal discomfort, which had significantly different with other reasons （P〈0.05）. Conclusion： We should give clinical prompts refer to the treatment cause, for avoiding simply considering conventional lesions that causing misdiagnosis and missed diagnosis. If necessary, we could determine the lesions underwent CT tests.