| 慢性咳嗽病因分布的初步调查 |
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| 引用本文： | 柳萍,包婺平,周新.慢性咳嗽病因分布的初步调查[J].中华哮喘杂志（电子版）,2010,4(5):282-285. |
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| 作者姓名： | 柳萍 包婺平 周新 |
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| 作者单位： | 上海交通大学附属第一人民医院呼吸科,200080 |
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| 基金项目： | 中华医学会临床医学科研资金项目(08020540132) |
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| 摘 要： | 目的了解上海地区慢性咳嗽病因分布的特点。方法以中华医学会制定的《咳嗽的诊断与治疗指南》（2009版）中慢性咳嗽诊断流程为指导,对98例咳嗽时间≥8周的患者进行病因分析、咳嗽症状积分、视觉模拟评分及Leicester咳嗽问卷调查。结果 98例患者中明确咳嗽病因诊断94例（95.92%）,病因未明者4例（4.08%）。94例患者中,单一病因82例（87.23%）,双重病因12例（12.77%）。咳嗽病因包括咳嗽变异性哮喘（CVA）44例（40.00%）,上气道咳嗽综合征（UACS）28例（25.45%）,嗜酸粒细胞性支气管炎（EB）21例（19.08%）,变应性咳嗽5例（4.55%）,胃食管反流性咳嗽4例（3.64%）,感染后咳嗽3例（2.73%）。治疗前后咳嗽积分、视觉模拟评分及Leicester咳嗽积分比较差异有统计学意义（P〈0.05）。结论 CVA、UACS和EB是上海地区慢性咳嗽的常见原因。
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| 关 键 词： | 慢性咳嗽 病因 |
Preliminary investigation on etiological diagnosis of chronic cough in Shanghai region |
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| LIU Ping,BAO Wu-ping,ZHOU Xin.Preliminary investigation on etiological diagnosis of chronic cough in Shanghai region[J].Chinese Journal of Asthma(Electronic Version),2010,4(5):282-285. |
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| Authors: | LIU Ping BAO Wu-ping ZHOU Xin |
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| Institution: | LIU Ping,BAO Wu-ping,ZHOU Xin.Department of Respiratory Medicine,First People's Hospital Affiliated Shanghai Jiaotong University,Shanghai 200080,China |
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| Abstract: | Objective To investigate the causes of chronic cough in Shanghai region.Methods All the cases were diagnosed using a diagnostic protocol designed by Chinese Medical Association.All patients completed cough scores,visual analogue scales and LCQ.Results The causes of chronic cough were confirmed in 94 patients(95.92%).Four patients had not been definitely diagnosed(4.08%).Cough due to single cause was found in 82 patients(87.23%),and due to double causes in 12 patients(12.77%).The causes included cough varian... |
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| Keywords: | Chronic cough Cause |
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