小儿慢性咳嗽的病因与临床特点研究

Etiology and clinical characteristics of chronic cough in children

目的:探讨小儿慢性咳嗽的病因与临床特点。方法:收治慢性咳嗽患儿106例,回顾性分析其临床资料。结果:咳嗽变异性哮喘占37.0%,鼻后滴漏综合征占17.0%,过敏性咳嗽占12.3%,上感后慢性咳嗽占28.3%,胃食管反流占5.7%。对症治疗后,总有效率95.3%。结论:咳嗽变异性哮喘、鼻后滴漏综合征、过敏性咳嗽、上感后慢性咳嗽、胃食管反流是小儿慢性咳嗽的常见病因。结合病史,根据病情特征、体征及相关检查方法进行判断,是准确诊断小儿慢性咳嗽的重要措施。

Objective:To explore the etiology and clinical characteristics of chronic cough in children.Methods:106cases ofchildren with chronic cough were selected,and the clinical data were retrospectively analyzed.Results:The proportion of coughvariant asthma was37%;the proportion of postnasal drip syndrome was17%;the proportion of allergic cough was12.3%;theproportion of chronic cough after upper respiratory tract infection was28.3%;the proportion of gastroesophageal reflux was5.7%.After symptomatic treatment,the total effective rate was95.3%.Conclusion:The cough variant asthma,postnasal drip syndrome,allergic cough,chronic cough after upper respiratory tract infection,gastroesophageal reflux were common causes of chronic coughin children.Combined with the history,according to the characteristics of the disease,signs and related examination methods todetermine were important measures for accurate diagnosis of chronic cough in children.