100例上气道咳嗽综合征的病因诊断及治疗体会

Etiological Diagnosis and Treatment of 100 Cases of Upper Airway Cough Syndrome

目的就100例上气道咳嗽综合征的病因诊断进行探析,同时就其治疗体会进行研究,旨在为临床上更好的为上气道咳嗽综合征患者进行治疗提供依据。方法 2017年1月-2018年12月期间因上气道咳嗽综合征(upper airway cough syndrome,UACS)来本院治疗的的患儿,从中选取100例进行此次的研究观察的对象。按年龄将患儿分成三组:婴幼儿(<3岁)组39例,学龄前(4~7岁)组32例,学龄(7~14岁)组29例;首先对上述患儿进行病因诊断,确定病因后给予相应针对病因的治疗。结果三个年龄段患儿治疗总显效例数为43例,占43.0%,有效例数为48例,占48.0%,无效例数为9例,占9.0%,其治疗总有效率为91.0%,相互之间比较差异无统计学意义(χ^2=2.962,P=0.564),差异无统计学意义。结论针对来诊的慢性咳嗽患儿,临床医师要开拓思路,判断患儿是否可能为UACS,尽早明确病因,确定治疗方案。

Objective To investigate the etiology of 100 cases of upper airway cough syndrome and to study the treatment experience, in order to provide a basis for clinical treatment of patients with upper airway cough syndrome. Methods The authors studied 100 patients with Upper Airway Cough Syndrome (UACS) who were treated in our hospital from January 2017 to December 2018. The children were divided into three groups according to age: Infants (< 3 years old) group of 39 cases, preschool (3 ~ 7 years old) group of 32 cases, school age (7 ~ 14 years old) group of 29 cases;first of all, the above patients were diagnosed with etiological factors, and the corresponding cause was treated after the cause was determined. Results The total number of treatments in the three age groups was 43 cases, accounting for 43.0%, 48 cases were effective, accounting for 48.0%, and the number of invalid cases was 9 cases, accounting for 9.0%. The total effective rate was 91.0%. There was no significant difference between the two groups (χ2=2.962, P=0.564), and the difference was not statistically significant. Conclusion For children with chronic cough who come to the clinic, clinicians should develop ideas and determine whether the child may be UACS, identify the cause as soon as possible, and determine the treatment plan.