鼻后滴综合征的防治

鼻后滴综合征是一种由于鼻分泌物后流进入咽喉部形成的物理性刺激,或由鼻部炎症形成的反射性刺激所引起的一类咳嗽综合征,又称为上气道咳嗽综合征。

鼻后滴注综合征的临床诊治

目的探讨鼻后滴注综合征临床诊断和治疗的方法及效果。方法对于我院2007年3月至2011年5月就诊我院耳鼻喉科及儿科的以回痰多、慢性刺激性咳嗽的患者进行追踪治疗及随访。结果诊断为鼻窦炎,慢性鼻炎,腺样体肥大,变应性鼻炎,鼻窦炎合并腺样体肥大,鼻窦炎合并鼻息肉,鼻窦炎合并变应性鼻炎,治疗有效率为78.6%。结论应用分步诊断,分析病因,对症病因进行治疗,取得较好临床效果。

鼻后滴注综合征与小儿慢性咳嗽的关系探讨(附60例报告)

目的:探讨小儿慢性咳嗽与鼻后滴注综合征的关系。方法:对临床确诊鼻后滴注综合征(PNDS),咳嗽持续1个月以上的60例患儿,根据临床表现、辅助检查、治疗等做回顾性分析。结果:慢性鼻炎、副鼻窦炎、变应性鼻炎、腺样体炎是PNDS中引起慢性咳嗽的常见原因,鼻息肉少见,且PNDS的早期误诊、漏诊率较高。结论:PNDS是多种上呼吸道疾患引起的综合征,是儿童慢性咳嗽较常见的原因,严重影响儿童生活质量,临床工作中应避免误、漏诊。

儿童鼻后滴注综合征临床诊治探讨

目的:探讨儿童鼻后滴注综合征(PNDS)临床诊断和治疗的方法及效果。方法:对2004年1月至2006年12月在九江学院附属医院儿科和耳鼻咽喉科门诊就诊的慢性咳嗽患儿,根据病史、咳嗽特征、体格检查、辅助检查、治疗反应等筛选出鼻后滴注综合征病例,确定PNDS的病因,针对病因进行治疗,追踪临床转归。结果:诊断PNDS189例,其中鼻窦炎29例,慢性鼻炎19例,腺样体炎或肥大24例,变应性鼻炎27例,鼻炎和鼻窦炎41例,腺样体肥大和鼻炎或鼻窦炎13例,鼻窦炎并鼻息肉5例,鼻炎鼻窦炎支气管炎综合征22例,鼻炎鼻窦炎间质性肺炎综合征9例;治疗有效率在85.2%-100%。结论:采取分步诊断程序,可以基本明确PNDS病因诊断,防止漏诊、误诊,针对病因进行治疗,可获得满意治疗效果。

小儿鼻后滴注综合征中医诊治体会

鼻后滴注综合征（PNDS）是指因过敏性或非过敏性因素引起的鼻腔或鼻窦炎性分泌物倒流入咽部，刺激咽部咳嗽感受器而引起的咳嗽、咽部异物感等一系列临床症状，其与支气管哮喘、胃食管反流共同构成慢性咳嗽的三大主因。有文献报道，其发病率占儿童慢性咳嗽的41％。其病因主要有急、慢性鼻炎，变应性鼻炎，药物性鼻炎，鼻息肉，鼻腔肿物，腺样体肥大等。

PNDs与GER所致慢性咳嗽研究现状

咳嗽是临床上最常见的主诉，几乎涉及呼吸系统所有的疾病，如典型支气管哮喘、肺部感染、肺纤维化和支气管肺癌等，通常伴有气促、发热或咯血等症状，具有显而易见的胸部X线、CT的改变、或肺功能检查异常，这类疾病容易引起临床医生和患者的重视，同时也有较多的诊断线索，从而相对容易获得及时诊断和治疗。

Clinical observation on moxibustion at Baihui(GV20)plus Tuina for children with postnasal drip syndrome

Objective:To observe the clinical efficacy of moxibustion at Baihui(GV20)plus Tuina(Chinese therapeutic massage)for children with postnasal drip syndrome(PNDS).Methods:A total of 60 cases were divided into an observation group and a control group according to the random number table method,with 30 cases in each group.Cases in the control group received mometasone furoate nasal spray and nasal irrigation with 0.9%normal saline.Cases in the observation group received additional moxibustion at Baihui(GV20)plus Tuina at the head and face.All the cases were treated for four consecutive weeks.The clinical efficacy and traditional Chinese medicine(TCM)symptoms score were compared between the two groups.Results:The total effective rate of the observation group was 93.3%while that of the control group was 70.0%.The difference between the two groups was statistically significant(P<0.05).After treatment,the TCM symptom scores in both groups declined significantly,showing a statistical difference from that before treatment(P<0.05),and the score of the observation group was notably lower than that of the control group(P<0.05).Conclusion:The clinical efficacy of moxibustion at Baihui(GV20)plus Tuina at the head and face on the basis of nasal spray with Western medicine is more significant than that of Western medicine alone for PNDS in children.