慢性咳嗽患者的诊疗现状调查

目的了解慢性咳嗽患者的诊疗状况。方法以首次到广州呼吸疾病研究所门诊就诊的慢性咳嗽患者为对象,入选标准：以咳嗽为主要症状或惟一症状,X胸片检查无明显异常。通过调查问卷的方式,记录其病情及诊治情况。结果共调查558例慢性咳嗽患者,平均年龄为（42.35±14.38）岁,其中男性51.97%,女性48.03%,平均病程为（58.07±83.74）月,平均就诊医疗机构数是3.26±3.11;平均就诊次数是（20.80±30.00）次。80.82%的患者曾被诊断为＂支气管炎、慢性支气管炎或慢性咽炎＂。在患者曾用的治疗药物中,有91.58%患者曾用抗生素,92.89%曾用止咳药。仅有0.72%的患者治疗后完全缓解,9.50%明显缓解。结论慢性咳嗽存在严重的误诊误治现象,慢性咳嗽的病因诊断有待进一步加强。

Survey on the diagnosis and management of the patients with chronic cough

Objective To evaluate the diagnosis and management of patients with chronic cough.Methods The patients with chronic cough were recruited from outpatient of Guangzhou Institute of Respiratory Disease.Information regarding previous diagnosis and treatment of the chronic cough was elicited through the survey questionnaire.Results A total of 558 outpatients with chronic cough completed the questionnaire.The mean age of the patients was（42.35±14.38）years,48.03% were female.The mean duration of cough was（58.07±83.74）months,the average number of clinic which the patient visited was 2.67±3.11,and the mean times of medical service was（20.80±30.00）times.80.82% of the patients were diagnosed as＂ bronchitis,chronic bronchitis or chronic pharyngitis＂ before.91.58% of the prescribtion contained antibiotics,92.89% contained antibechic.0.72% patients got completely relief,and 9.5% obviously relief after treatment.Conclusions Most of the patients with chronic cough were ever misdiagnosed and mistreated,we should pay more attention to the etiological diagnosis of chronic cough.