亚急性咳嗽中咳嗽变异性哮喘诊治之探讨

目的探讨咳嗽变异哮喘在亚急性咳嗽组中的发病情况及重要性。方法将近5年时间我院呼吸内科门诊就诊患者亚急性咳嗽组与慢性咳嗽组中咳嗽变异性哮喘的发病比例做对比分析。分别采集2009年6月至2013年11月,亚急性咳嗽组920例,慢性咳嗽组246例,两组均不包含X线肺部有病变的疾病,如慢性支气管炎急性发作、慢性阻塞性肺疾病、支气管扩张、肺结核、肺癌、肺炎等。两组均做肺功能组胺激发试验,阳性结果确诊为咳嗽变异性哮喘,并做对比分析。结果两组确诊为咳嗽变异性哮喘病例中,亚急性咳嗽组咳嗽变异性哮喘发病人数146例,占该组15.87%,慢性咳嗽组咳嗽变异性哮喘发病人数46例,占该组18.69%,两组咳嗽变异性哮喘发病比例相当,P〉0.05,无显著差异。结论咳嗽变异哮喘在亚急性咳嗽组中发病比例较高,与慢性咳嗽组发病数相当。因此,咳嗽变异性哮喘在亚急性咳嗽组提早做出诊断,提早治疗,有重要意义。

Investigation on diagnosis and treatment of cough variant asthma during subacute cough

Objective To discuss the cough variant asthma in subacute cough prevalence and importance in the group. Methods Nearly 5 years in our hospital respiratory department of internal medicine clinic patients in subacute cough group and chronic cough group in incidence of cough variant asthma do comparative analysis.2009 June to 2013 November were collected,subacute cough group 920 cases,246 cases of chronic cough group,two groups were not included X-ray lung disease,such as chronic bronchitis,chronic obstructive pulmonary disease,bronchiectasis,tuberculosis,lung cancer,pneumonia. The two groups were diagnosed as cough variant asthma,and got comparative analysis. Results The two group confirmed the diagnosis of cough variant asthma patients in group 146 cases,subacute cough,cough variant asthma accounted for 15. 87%,46 cases of chronic cough were cough variant asthma,accounted for 18. 69%,two sets of cough variant asthma incidence rate,no significant differences,P ＆gt; 0. 05. Conclusions Cough variant asthma in subacute cough group in incidence rate is relatively high,and the chronic cough group incidence. Therefore,early diagnosis and early treatment of cough variant asthma in subacute cough group has important significance.