慢性咳嗽的临床诊治体会

Experience of clinical diagnosis and treatment of chronic cough

目的:探讨慢性咳嗽的临床诊断和治疗的有效方法。方法:2011年2月-2013年10月收治慢性咳嗽患者80例,对其临床资料进行回顾性分析。归纳总结患者的临床症状和表现,分析特异性治疗的临床疗效。结果:80例慢性咳嗽患者诊断结果显示,鼻后滴流综合征42例(52.5%),咳嗽变异性哮喘22例(27.5%),胃食管反流性咳嗽10例(12.5%),嗜酸性粒细胞性支气管炎4例(5.0%),其他病因2例(2.5%)。经特异性治疗后,80例患者痊愈46例(57.5%),有效28例(35%),总有效率92.5%。结论:根据慢性咳嗽患者的临床症状和表现,通过各项有效检查,查找引起慢性咳嗽的病因,进行有针对性的特异性治疗能获得良好的临床治疗效果,促进患者早日康复。

Objective:To explore effective ways of chronic cough diagnosis and treatment.Methods:The clinical data of 80 cases of chronic cough in our hospital from February 2011 to October 2013 were retrospectively analyzed.The clinical symptoms and performance were summarized and the clinical efficacy of specific treatment was analyzed.Results:80 cases with chronic cough diagnosis results showed that 42 cases(52.5%) were postnasal drip syndrome,22 cases(27.5%) were cough variant asthma,10cases(12.5%) were gastroesophageal reflux cough,4 cases(5%) were eosinophil bronchitis thermophilic,2 cases(2.5%) were other diseases.With specific treatment,in 80 cases,46 cases(57.5%) were cured,28 cases(35%) were effective,the total efficiency was92.5%.Conclusion:According to the clinical symptoms and signs in patients with chronic cough,through various effective inspection,finding the causes of chronic cough and giving the specific therapeutic can obtain good treatment efficiency,improve the clinical treatment effect of patients,and promote early rehabilitation of patients.