| 摘要: |
| 目的:了解成都地区儿童慢性咳嗽的病因分布及药物治疗情况。方法:采用回顾性研究方法,选择2018 年6 月至2020 年
5 月成都市妇女儿童中心医院呼吸内科住院治疗的慢性咳嗽患儿277 例,分析临床资料。结果:病因分布:上气道咳嗽综合征
(UACS)142 例(51. 3%),感染后咳嗽(PIC)101 例(36. 5%),咳嗽变异性哮喘(CVA)76 例(27. 4%),抽动症8 例(2. 9%),迁延
性细菌性支气管炎(PBB)5 例(1. 8%),支气管异物2 例(0. 7%)。其中多病因57 例(20. 6%),分别为CVA+UACS 53 例,抽动
症+UACS 2 例,CVA+抽动症1 例,PBB+UACS 1 例。病因分布无性别差异(P>0. 05),但具有年龄、病程差异(P<0. 05):PIC 是
婴儿组首位病因,UACS 是其他各年龄组首位病因;PIC 百分比随咳嗽病程降低,CVA 百分比随咳嗽病程升高。针对病因进行药
物治疗可获得较好疗效。结论:成都地区儿童慢性咳嗽病因分布具有年龄差异,前3 位是UACS、CVA、PIC,混合病因以CVA 合
并UACS 多见,明确病因是治疗的关键 |
| 关键词: 儿童 慢性咳嗽 病因构成 成都地区 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2023.01.013 |
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| 基金项目: |
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| Etiology Analysis of 277 Children with Chronic Cough in the Chengdu Area |
| Peng Yi, Xia Wanmin, Xie Cheng, Yao Jiawei, Ai Tao, Fan Yinghong, Liu Yanru |
| (Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 611731, China) |
| Abstract: |
| Objective: To investigate the etiology of chronic cough in children in the Chengdu area. Methods: The clinical data of 277
cases of hospitalized children with a chronic cough in Chengdu Women’s and Children’s Central Hospital from June 2018 to May 2020
were retrospectively analyzed. Results: The causes of chronic cough in 277 cases were as follows: 142 cases (51. 3%) had upper airway
cough syndrome (UACS), 101 cases (36. 5%) had post-infection cough (PIC), 76 cases (27. 4%) had cough variant asthma
(CVA), 8 cases (2. 9%) had Tourette syndrome (TS), 5 cases (1. 8%) had protracted bacterial bronchitis (PBB), and 2 cases
(0. 7%) had foreign body aspiration. 57 cases (20. 6%) cases of children had multiple causes, fifty-three cases of UACS+CVA, two
cases of TS+UACS, one cases of CVA+TS, one cases of PBB+UACS. PIC was the first cause of infancy, while UACS ranked the first
of other age groups. Etiology treatment leads to a good result. Conclusion: The first three causes of chronic cough in children were
UACS, CVA and PIC. Multiple causes were common. The causes of chronic cough vary with ages. Etiology is the key to the cure. |
| Key words: children chronic cough cause Chengdu area |
