睡眠呼吸障碍患者的慢性咳嗽。
Chronic cough in patients with sleep-disordered breathing.
机构信息
Dept of Respiratory Medicine, King's College Hospital, London, SE5 9RS, UK.
出版信息
Eur Respir J. 2010 Feb;35(2):368-72. doi: 10.1183/09031936.00110409.
Chronic cough can be the sole presenting symptom for patients with obstructive sleep apnoea. We investigated the prevalence, severity and factors associated with chronic cough in patients with sleep-disordered breathing (SDB). We invited 108 consecutive patients who had been referred for evaluation of SDB to complete a comprehensive questionnaire on respiratory and sleep health, which included the Leicester Cough Questionnaire (cough specific quality of life; LCQ), Epworth Sleepiness Scale (ESS) and the Mayo Clinic gastro-oesophageal questionnaire. Chronic cough was defined as cough for a duration of >2 months. 33% of patients with SDB reported a chronic cough. Patients with a chronic cough had impaired cough related-quality of life affecting all health domains (mean+/-sem LCQ score 17.7+/-0.7; normal = 21). Patients with SDB and chronic cough were predominantly females (61% versus 17%; p<0.001) and reported more nocturnal heartburn (28% versus 5%; p = 0.03) and rhinitis (44% versus 14%; p = 0.02) compared to those without SDB. There were no significant differences in ESS, respiratory disturbance index, body mass index, or symptoms of breathlessness, wheeze, snoring, dry mouth and choking between those with cough and those without. Chronic cough is prevalent in patients with SDB and is associated with female sex, symptoms of nocturnal heartburn and rhinitis. Further studies are required to investigate the impact of continuous positive airway pressure therapy on cough associated with SDB to explore the mechanism of this association.
慢性咳嗽可能是阻塞性睡眠呼吸暂停患者唯一的主要症状。我们研究了睡眠呼吸障碍(SDB)患者慢性咳嗽的患病率、严重程度及相关因素。我们邀请了 108 名因睡眠呼吸障碍评估而就诊的连续患者,让他们完成一份关于呼吸和睡眠健康的综合问卷,其中包括莱斯特咳嗽问卷(咳嗽特异性生活质量;LCQ)、嗜睡量表(ESS)和梅奥诊所胃食管问卷。慢性咳嗽定义为咳嗽持续时间>2 个月。33%的 SDB 患者报告有慢性咳嗽。有慢性咳嗽的患者咳嗽相关生活质量受损,影响所有健康领域(平均+/-SEM LCQ 评分 17.7+/-0.7;正常=21)。SDB 合并慢性咳嗽的患者主要为女性(61%比 17%;p<0.001),且报告更多的夜间烧心(28%比 5%;p=0.03)和鼻炎(44%比 14%;p=0.02),与无 SDB 的患者相比。在 ESS、呼吸紊乱指数、体重指数或呼吸急促、喘息、打鼾、口干和窒息症状方面,咳嗽患者与无咳嗽患者之间没有显著差异。慢性咳嗽在 SDB 患者中很常见,与女性、夜间烧心和鼻炎症状有关。需要进一步研究 CPAP 治疗对 SDB 相关咳嗽的影响,以探讨这种关联的机制。