新疆巴州地区慢性咳嗽的病因分布及临床分析

摘要

目的：探讨新疆巴州地区慢性咳嗽的病因分布及对治疗的反应性。方法前瞻性研究108例慢性咳嗽患者临床资料。结果入选获得资料完整者108例，其中男63例(58．33%)，女45例(41．67%)，明确诊断102例(94．44%)，病因未明者6例(5．56%)。102例病因明确者中，单一病因82例(75．93%)，具有双重病因者23例(21．3%)。双重病因中胃食管反流性咳嗽合并咳嗽变异性哮喘16例(69．56%)，上气道咳嗽综合征合并咳嗽变异性哮喘7例(30．43%)。包括多种病因在内，总共108例次慢性咳嗽病因，提示新疆巴州地区前五位慢性咳嗽患者的常见病因依次为：上气道咳嗽综合征、咳嗽变异性哮喘、胃食管反流、感染后咳嗽和支气管结核。结论不同地区的环境气候、生活方式及经济发展水平的差异对慢性咳嗽病因的分布有影响。%Objective To investigate the etiology distribution of chronic cough in Bazhou area of Xinjiang and their responsiveness to treatment. Methods The clinical data of 108 patients with chronic cough were retrospec-tively analyzed. Results There were 63 male cases ( 58. 33%) and 45 female cases ( 41. 67%) . 102 cases were definitely diagnosed (94. 44%), and 6 cases had unknown etiology (5. 56%). The causes of 102 cases with clear, single cause included 82 cases (75. 93%), and 23 cases had double causes (21. 3%). There were 16 cases of gas-troesophageal reflux cough associated with cough variant asthma (69. 56%), 7 cases of upper airway cough syndrome and 7 cases of cough variant asthma (30. 43%). The five most common chronic cough in Bazhou area were UACS, CVA, GERC, post infection cough and bronchial tuberculosis. Conclusion The causes of different chronic cough in Bazhou include different climatic regions, the level of economic development and environment.