咳嗽变异性哮喘40例临床观察

目的：探讨咳嗽变异性哮喘（CVA）的诊断及治疗方法，观察临床疗效。方法：回顾性分析2008年2月～2010年2月我院诊治的40例CVA患者，根据患者病情不同进行治疗，以抗炎和平喘为主，对最大呼气流量及昼夜变异率进行监测，观察疗效。结果：40例患者中，用药1周后症状完全缓解的16例（40％）；治疗2周后咳嗽明显减少的20例（50％），所有病例均在3周后症状逐渐消失，36例观察1月后无明显发作。结论：准确诊断、正确治疗，联合用药，一旦临床确诊为CVA，应尽早给予抗哮喘治疗，以防止发展为典型哮喘。

Cough variant asthma 40 cases

Objective： cough variant asthma （CVA） in the diagnosis and treatment, clinical efficacy was observed. Methods： A retrospective analysis in February 2008 - February 2010 40 eases treated in our hospital CVA patients, different treatment under the condi- tion of patients to anti-inflammatory and asthma based on the peak expiratory flow rate monitoring and eireadian variation, effeets were observed. Results： 40 patients, the drug 1 week after symptoms resolved in 16 cases （40%）; treatment of cough decreased significantly after 2 weeks, 20 patients （50%）, all cases were within 3 weeks after the symptoms disappeared, 36 cases observed no attack after 1 month. Conclusion： The accurate diagnosis, proper treatment, combination therapy, once the clinical diagnosis for the CVA, anti-asthma treatment should be given as soon as possible to prevent the development of typical asthma.