慢性咳嗽146例病因分析

目的探讨慢性咳嗽的病因构成。方法对146例慢性咳嗽患者询问病史，体检，行胸部X线及CT、肺功能、胃镜、副鼻窦拍片、痰细胞学分类等检查，根据检查结果和治疗反应确定病因诊断。结果146例患者中明确诊断136例，确诊率93．2％；病因分布：咳嗽变异性哮喘45例（30．3％），鼻后滴漏综合征27例（18．5％），胃食管反流性咳嗽21例（14．4％），感染后咳嗽16例（10．9％），嗜酸细胞性支气管炎13例（8．9％），药物性咳嗽10例（6．8％），心理源性咳嗽4例（2．7％），病因未明10例（6．8％）。结论慢性咳嗽病因复杂，予以特异性治疗效果好，故明确病因是治疗的关键。

The etiological distribution of 146 cases of chronic cough patients

Objective To analyze the causes of chronic cough. Results Totally 146 patients with chronic cough were diaguosed according to the diagnostic routine based on the guideline on diagnosis and treatment of chronic cough established by Chinese Medical Association, which included medical history, medical examination, X-ray or CT of paranasal sinus or chest, lung function, gastroscope, sputum cytology classification. The final diagnosis was made based on clinical manifestation examination findings and a positive response to therapy. Conclusion The cause of chronic cough was defined in 93.2% of the patients, and multiple causes: Cough variant asthma (n = 45,30.3%), postnasal drip syndrome,PNDs (n = 27, 18.5%), gastroesophageal reflux cough(n = 21,14.4%), post infection cough(n = 16,10.9%), ensinophilic bronchitis(n = 13, 8.9%), drug induced cough(n = 10,6.8%), unidentified cough(n = 10,6.8%). Conclusion Complex etiology of chronic cough,be specific therapeutic effect,and its clear cause is the key to treatment.