咳嗽变异性哮喘92例的诊治分析

摘要

目的 分析咳嗽变异性哮喘(CVA)的临床诊断和治疗.方法 根据检查结果及治疗反应,分析92例咳嗽变异性哮喘患者的临床特征.结果 92例CVA的误诊率为82.6%,其中急性气管支气管炎、慢性咽炎、慢性气管支气管炎,为易被误诊的前3位疾病.经治疗后87例(94.6% )患者为显效,5例(5.4% )患者为有效,有效率100.0%.结论 提高对CVA的认识,扩展对咳嗽病因的鉴别诊断思路,应用吸入小剂量糖皮质激素和β受体激动剂可取得良好的疗效.%Objective To observe diagnosis and treatment of clinical cough variability asthma(CVA). Methods According to the test results and response to treatment,we analyzed clinical characteristics of 92 cases with CVA. Results The misdiagnosis rate of CVA was 82. 6%. The first three misdiagnosis diseases were acute,chronic bronchitis and chronic pharyngitis. After treatment, there were 87 cases (94. 6%) with marked effect,5 cases (5. 4%) with effect,the total curitive rate was 100. 0%. Conclusion Im-proving the knowledge for the clinical characteristics of CVA,the inhalation of small dosage of glucocorticoid and β-adrenergic re-ceptor agonists can get good effects.