沙漠戈壁地区儿童慢性咳嗽100例病因分析

Causes of chronic cough in children in the gobi desert region:analyses of 100 cases

目的探讨沙漠戈壁地区儿童慢性咳嗽的病因构成特点,为其病因诊断和防治提供依据。方法回顾性分析该地区2007年5月~2012年5月符合慢性咳嗽诊断标准的我院儿科患者100例。结果 (1)疾病构成:呼吸道感染与感染后咳嗽占50%、咳嗽变异性哮喘(CVA)占30%、上气道咳嗽综合征(UACS)占10%、其他病因占10%。(2)按不同年龄组统计:不同年龄组中居首位的疾病分别是,0~1岁组为呼吸道感染与感染后咳嗽15例,占78.9%;】1~3岁组为呼吸道感染与感染后咳嗽22例,占78.6%;】3~6岁组为呼吸道感染与感染后咳嗽和CVA各10例,并列居首位,均占41.7%;】6~14岁组为CVA 18例,占62.1%。结论(1)本组中呼吸道感染与感染后咳嗽、CVA、UACS是其儿童慢性咳嗽最常见的三种病因,呼吸道感染与感染后咳嗽居首位。(2)不同年龄组中导致慢性咳嗽居首位的病因有所不同,≤3岁的患儿以呼吸道感染与感染后咳嗽居首,】3~6岁年龄组中呼吸道感染与感染后咳嗽和CVA并列居首位,】6~14岁组CVA居首。

Objective To explore the etiological characteristics of chronic cough in children in the gobi desert region,and to provide bases for the diagnosis and treatment.Methods Retrospective summary analysis was carried out in the region during May 2007 to May 2012 in 100pediatric cases of chronic cough with the diagnostic criteria.Results This group of patients consisted of respiratory tract infection and infection after cough(50%),cough variant asthma(CVA)(30%),upper airway cough syndrome(UACS)(10%),and other diseases(10%).The constituent ratios of the disease in the different age group were that it most commonly occurred in ≤1years old group(78.9%)with middle respiratory tract infection and cough after infection,followed by ≤ 3years old group(78.6%),> 6 ~ 14-year-old group(62.1%)and 3 ~ 6-year-old group(41.7%).ConclusionsRespiratory tract infection,cough after infection,CVA and UACS are the most common causes of chronic cough in children in this region,with respiratory tract infection and coughing after infection as a lead.In the different group,the cause of chronic cough is defferent:≤1and ≤ 3-year-old groups are topped with respiratory tract infection and cough after infection;in ≤6-year-old group the respiratory tract infection,cough after infection and CVA are the most common causes,but CVA is the most common cause in > 6~14-year-old group.