5岁及以下儿童非特异性慢性咳嗽的病因分析

摘要

目的：：分析5岁及以下儿童非特异性慢性咳嗽的病因，以提高儿科医生对年幼儿童非特异性慢性咳嗽的病因诊断及治疗水平。方法：回顾性分析85例5岁及以下儿童非特异性慢性咳嗽的临床资料。结果：85例非特异性慢性咳嗽患儿病因分布如下：咳嗽变异性哮喘27例(31.8%)，上气道咳嗽综合征32例(37.6%)，感染后咳嗽16例(18.8%)，胃食管反流性咳嗽3例(3.5%)，过敏性咳嗽2例(2.4%)，病因不明5例(5.9%)。结论：5岁及以下儿童非特异性慢性咳嗽的主要病因构成比依次为上气道咳嗽综合征、咳嗽变异性哮喘、感染后咳嗽及其他病因。%Objective:To explore the causes of nonspecific chronic cough in children 5 or under 5 years old for improving its diagnosis and treatment. Methods:The clinical data of 85 children 5 or under 5 years old with nonspecific chronic cough were retrospectively analyzed. Results:The etiologic distribution of the 85 children with nonspecific chronic cough included 27 cases of cough variant asthma (31. 8%),32 cases of upper airway cough syndrome(37. 6%),16 cases of post-infection cough(18. 8%),3 cases of gastroesophageal reflux cough(3. 5%),2 cases of atopic cough(2. 4%) and 5 cases of unknown etiology(5. 9%). Conclusions:The main causes of nonspecific chronic cough in children 5 or under 5 years old are the upper airway cough syndrome,cough variant asthma,post-infection cough and other causes in turn.