青岛近海区域慢性咳嗽病因分布

Causes of Chronic Cough in Qingdao Offshore Area

目的探究青岛近海地区慢性咳嗽患者的病因分布特点。方法在时间段2017年4月—2019年3月间开展该次实验,将中华医学会所制定的《咳嗽的诊断与治疗指南2015版》中的慢性咳嗽诊断流程作为引导资料,对该时间段内随机抽选的青岛近海区域的,咳嗽时间在8周以上的103例患者进行病因分析,分析不同患者的慢性咳嗽病因。结果该次研究成果显示,103例患者中明确诊断98例(95.15%),病因未明者5例(4.85%)。103例患者中,单一病因85例(87.23%),双重病因13例(12.77%),三重病因1例(1.02%)。咳嗽病因包括上气道咳嗽综合征(UACS)40例(35.09%),咳嗽变异性哮喘(CVA)36例(31.57%),嗜酸粒细胞性支气管炎(EB)15例(13.15%),变应性咳嗽(AC)7例(6.14%),胃食管反流性咳嗽(GERC)5例(4.38%),感染后咳嗽(PIC)4例(3.51%)。结论在青岛近海区域中,患者发生慢性咳嗽,主要以单一病因为主。导致患者出现咳嗽的原因,主要以上呼吸道咳嗽综合征、咳嗽变异性哮喘为主,在对患者进行临床治疗时,应当将这两种病因作为主要诊断目标,对患者的后续治疗工作进行引导。但总体来说引发慢性咳嗽的因素较多,在对患者进行临床治疗时,需根据患者的具体病症特点进行治疗,以保证患者的治疗效果。

Objective To explore the etiology of chronic cough patients in the offshore area of Qingdao.Methods This experiment was carried out between April 2017 and March 2019,and the chronic cough diagnosis process in the"Cough Diagnosis and Treatment Guide 2015 Edition"developed by the Chinese Medical Association was used as a guide.A causal analysis of 103 patients with cough time of more than 8 weeks in the Qingdao offshore area was randomly selected to analyze the etiology of chronic cough in different patients.Results The results of this study showed that 98 patients(95.15%)were clearly diagnosed in 103 patients,and 5 patients(4.85%)had unknown etiology.Of the 103 patients,85 cases had a single cause(87.23%),13 cases had a dual cause(12.77%),and 1 cases had a triple etiology(1.02%).The causes of cough include 40 cases(35.09%)of upper airway cough syndrome(UACS),36 cases(31.57%)of cough variant asthma(CVA),and 15 cases(13.15%)of eosinophilic bronchitis(EB),7 patients(6.14%)had allergic cough(AC),5 cases(4.38%)had gastroesophageal reflux cough(GERC),and 4 cases(3.51%)had cough after infection(PIC).Conclusion In the offshore area of Qingdao,patients develop chronic cough,mainly due to a single cause.The main causes of cough in patients are mainly upper respiratory tract cough syndrome and cough variant asthma.In the clinical treatment of patients,these two causes should be taken as the main diagnostic targets to guide the follow-up treatment of patients.However,in general,there are many factors that cause chronic cough.In the clinical treatment of patients,they need to be treated according to the specific characteristics of the patient to ensure the treatment effect of the patient.