检验医学与临床2017，Vol.14Issue(19)：2856-2857,2860,3.DOI:10.3969/j.issn.1672-9455.2017.19.015
396例儿童难治性咳嗽病因探讨
Study on etiology in 396 children cases of intractable cough
摘要
Abstract
Objective To investigate the etiology of child intractable cough to provide a basis for its clinical treatment. Methods The clinical data in 396 children patients with intractable cough in the hospital from February 2013 to July 2016 were ret-rospectively analyzed.Their clinical symptoms,complications and electronic nasopharyngolaryngoscopic examination results were summarized.The formation causes and treatment effect of intractable cough were analyzed.Results Among 396 children cases ac-cording to whether complicating nasal diseases,42 cases(10.61%)had no complicating nasal disease and other 354 cases(89.39%) were combined with nasal diseases.In 354 cases of complicating nasal diseases,285 cases(80.51%)were diagnosed as upper airway cough syndrome,69 cases(19.49%)were simple complicating nasal disease.The clinical symptoms in 285 cases of upper airway cough syndrome were analyzed,201 cases had the nasal symptoms of stuffy nose,runny nose,nasal itching,189 cases had regular cough,63 cases had self inductance of postnasal drip,129 cases had oropharynx visible nasopharynx purulent secretion,267 cases had purulent or sticky secretion in nasopharynx by the first time electronic nasopharyngolaryngoscopy,162 cases had lymphoid folli-cles hyperplasia in the wall of pharynx,174 cases had purulent secretion in nasal meatus and 87 cases had snoring or mouth breath-ing.354 cases of complicating nasal diseases were treated in the otolaryngology department of our hospital,the cough symptom was significantly relieved within 14 d,in which the cough relief rates within 7,14 d in the cases of complicating upper airway cough syn-drome were higher than those in the cases of simple complicating nasal diseases,the difference was statistically significant(P <0.05).Conclusion The proportion of complicating nasal disease and upper airway cough syndrome in children patients with intrac-table cough is higher,and giving targeted therapy can effectively alleviate the cough symptom.关键词
难治性咳嗽/儿童/鼻部疾病/上呼吸道咳嗽综合征Key words
cough intractable/children/nasal disease/upper airway cough syndrome引用本文复制引用
周雪冰,王进东,葛玥铭,张海生,赵毅,李为..396例儿童难治性咳嗽病因探讨[J].检验医学与临床,2017,14(19):2856-2857,2860,3.基金项目
河北省科技支撑计划资助项目(20160834). （20160834）
