“三步四分法”诊疗儿童上气道咳嗽综合征的效果观察

Effect Observation of"Three-Step Four-Point Method"in Diagnosis and Treatment of Children with Upper Airway Cough Syndrome

目的:探讨“三步四分法”诊疗儿童上气道咳嗽综合征(UACS)的效果。方法:选取2018年9月—2021年4月北京市顺义区妇幼保健院收治的116例慢性咳嗽患儿作为研究对象,均给予“三步四分法”进行诊疗,分析“三步四分法”在UACS诊断中的准确性和治疗有效性。结果:116例慢性咳嗽患儿中,首次诊断为UACS 112例,排除4例(特异性100%),漏诊0例;经治疗2~4周后验证,确诊108例(敏感性96.43%),误诊4例(误诊率3.57%)。诊断的112例UACS患儿中,治疗2~4周随访,显效86例(76.79%),有效22例(19.64%)。结论:以治疗为导向的“三步四分法”,诊疗思路清晰,诊断准确率较高,疗效显著。

Objective:To investigate the effect of"three-step four-point method"in the diagnosis and treatment of upper airway cough syndrome(UACS)in children.Methods:A total of 116 children with chronic cough treated in Maternal and Child Healthcare Hospital of Shunyi District of Beijing from September 2018 to April 2021 were selected as the study subjects.All the children were diagnosed and treated by"three-step four-point method".The accuracy of"three-step four-point method"in the diagnosis of UACS and the effectiveness of treatment were analyzed.Results:Among the 116 children with chronic cough,112 cases were diagnosed with UACS for the first time,4 cases were excluded(specificity 100%),and 0 case had a missed diagnosis.Upon the verification after 2-4 weeks of treatment,108 cases were diagnosed(sensitivity 96.43%)and 4 cases were misdiagnosed(misdiagnosis rate 3.57%).Among the 112 children diagnosed with UACS,86 cases(76.79%)were significantly effective and 22 cases(19.64%)were effective during follow-ups after 2-4 weeks of treatment.Conclusion:The treatment-oriented three-step four-point method has clear diagnosis and treatment ideas,high diagnostic accuracy and significant efficacy.