慢性咳嗽38例经验性诊治分析

目的探讨慢性咳嗽经验性诊断和治疗的要点。方法通过详细询问病史和查体,在慢性咳嗽常见病因导向的基础上,对我院38例慢性咳嗽患者进行经验性诊断、治疗并随访。结果 38例均行经验性诊断和治疗,拟诊咳嗽变异型哮喘15例,初步治疗有效14例,进一步治疗无效1例;拟诊上气道咳嗽综合征12例,初步治疗有效10例,进一步治疗有效1例;拟诊胃食管反流性咳嗽4例,初步治疗有效2例,进一步治疗有效1例;拟诊感染后咳嗽3例,初步治疗有效2例,进一步治疗无效1例;拟诊症状不典型咳嗽4例,初步治疗有效2例。经经验性治疗后确诊率达78.95%(30/38),治疗总有效率为84.21%(32/38)。结论慢性咳嗽采用经验性治疗方法,方便实用,有效率高,易被广大患者接受,在该病病因诊断和治疗中具有重要价值。

Analysis of Empirical Diagnosis and Treatment in 38 Patients with Chronic Cough

Objective To explore the key points of empirical diagnosis and treatment for chronic cough. Methods Thirty-eight patients with chronic cough underwent empirical diagnosis and treatment, and then were followed up after being asked detailed histories, who took physical examinations, based on common chronic cough-oriented causes. Results The 38 patients underwent empiric diagnosis and treatment, of whom 15 patients were suspected as having cough variant asthma, and after initial treatment 14 patients were relieved, and 1 patient was invalid by further treatment; 12 patients were suspected as having upper airway cough syndrome, and after initial treatment 10 patients were relieved, and 1 patient was relieved after fur- ther treatment; 4 patients were suspected as having gastro-esophageal reflux -related cough, and after initial treatment 2 pa- tients were relieved, and 1 patient was relieved by further treatment; 3 patients were suspected as having post infectionem cough, after initial treatment 2 patients were relieved, and 1 patient was invalid by further treatment; 4 patients were suspec- ted as having uncharacteristic cough, and 2 patients were relieved after initial treatment. After the empirical treatment, the fi- nal diagnosis rate was 78.95% （30/38）, and the total efficacy rate was 84.21% （32/38）. Conclusion Empirical treatment of chronic cough is convenient with high efficacy rate and readily accepted by patients, which is of important value during the diagnosis and treatment of chronic cough.