青岛市亚急性、慢性咳嗽中咳嗽变异性哮喘的发病率及相关因素分析

摘要

Objective To investigate the incidence of cough variant asthma (CVA) in sub-acute and chron-ic cough in Qingdao, and to analyze the correlative factors. Methods 504 patients with sub-acute/ chronic cough and normal chest X-ray were enrolled. The medical history, physical and laboratory examination and diagnosis of all the patients were retrospectively analyzed. Results The most common reason was cough variant asthma both in sub-acute and chronic cough. Cough variant asthma was related with allergic rhinitis, family history of asthma, personal allergic history and animals (P < 0. 05). There was no significant difference in sexuality. The male morbidity was higher at the age of 13 to 30, and the female morbidity at the age of 40 to 60. Conclusion Cough variant asthma is the most common reason for sub-acute cough and chronic cough. Clinician should improve their understanding of CVA to make a early diagnosis and specified treatment.%目的：调查青岛市亚急性、慢性咳嗽中咳嗽变异性哮喘(CVA)的发病率及相关因素,对其进行分析。方法选取2013年7月至2014年6月期间诊断亚急性及慢性咳嗽,胸片无异常的患者504例作为研究对象,回顾性分析所有研究对象的病史、检查及诊断结果,分析 CVA 的发病率及发病相关因素。结果青岛市亚急性、慢性咳嗽最常见原因均为 CVA,CVA 与过敏性鼻炎、哮喘家族史、个人过敏史、宠物相关(P <0．05),CVA 患者中男女发病率差异无统计学差异,男性 CVA 患者中13-30岁患病率较高,女性 CVA 患者中46-60岁患病率较高。结论 CVA 是青岛市亚急性、慢性咳嗽最常见原因,临床医师应加强对本病的认识,早期诊断,规范治疗。