慢性咳嗽患者病因诊断及疗效分析

目的探讨慢性咳嗽的主要病因及其诊断,分析针对病因治疗后效果。方法依据《咳嗽的诊断与治疗指南》诊断程序,对126例慢性咳嗽的病因进行诊断并通过分析治疗效果而确诊。结果 126例慢性咳嗽中确诊124例(98.4%),其中咳嗽变异型哮喘(CVA)52例,嗜酸粒细胞性支气管炎(EB)36例,鼻后滴流综合征(PNDs)21例,胃食管反流性咳嗽(GERC)15例,其它原因2例(1.6%)。针对病因治疗后,症状控制78例、有效38例。结论 CVA、EB、PNDs、GERC是诱发慢性咳嗽的主要病因,针对病因的特异性治疗效果好,可作为重要的确诊依据。

The Analysis of the Etiology Diagnosis and Treatment of Patients with Chronic Cough

Objective To study the main cause, diagnostic criteria and treatment of chronic cough. Methods 126 patients with chronic cough were diagnosed according to Guideline for Diagnosis and Therapy of Cough and were confirmed by the efficacy of the treatment. Results Of the 126 cases, 124 cases were confirmed（98.4%）, including 52 cases of cough variant asthma（CVA）, 36 cases of eosinophilic bronchitis（EB）, 21 cases of postnasal drip syndrome（PNDs）, 15 cases of gastroesophageal reflux cough（GERC） and 2 cases of chronic cough caused by other causes（1.6%）. After etiological treatment, 78 patients were cured, and the symptoms of 38 patients were alleviated. Conclusion Chronic cough is mainly caused by CVA, EB, PNDs and GERC. Specific etiological treatment is quite effective in treating the disease, which also can be an important basis for the diagnosis of the disease.