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[咳嗽反射敏感性测试在慢性咳嗽中的意义]

[The significance of cough reflex sensitivity test in chronic cough].

作者信息

Ma Qian-li, Long Zhou, Zhang Qiao, Huang Zan-sheng, Wu Ying, Wang Chang-zheng

机构信息

Institute of Respiratory Diseases, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2011 Aug;50(8):668-71.

Abstract

OBJECTIVE

Preliminary study of the cough reflex sensitivity test in chronic cough patients with different gender, disease duration and causes to evaluate the clinical diagnostic significance of the test and further provide some information for the treatment of chronic cough.

METHODS

Totally 108 chronic cough patients in our hospital were enrolled in the study with the final diagnosis of upper airway cough syndrome (UACS), cough variant asthma (CVA) and gastroesophageal reflux cough (GERC). They all went through the cough reflex sensitivity test and the retrospective analysis of the results was made.

RESULTS

In 108 patients with chronic cough (76 UACS, 19 CVA and 13 GERC), lgC5 was significantly slower in the female (1.80) than the male (2.40, P < 0.05) and in the patients with cough duration over 12 months (1.80) than those with cough duration under 12 months (2.40, P < 0.05). Cough sensitivity in patients with different causes was significantly different (P < 0.05) with lower lgC5 in GERC patients (1.49) than CVA (2.40, P < 0.05) and UACS (2.40, P < 0.05) patients.

CONCLUSIONS

Cough sensitivity is different in chronic cough patients with different gender, disease duration and causes. Cough reflex sensitivity test is of great value in the etiology diagnosis of chronic cough.

摘要

目的

对不同性别、病程及病因的慢性咳嗽患者进行咳嗽反射敏感性试验的初步研究,以评估该试验的临床诊断意义,并为慢性咳嗽的治疗提供一些信息。

方法

选取我院108例最终诊断为上气道咳嗽综合征(UACS)、咳嗽变异性哮喘(CVA)和胃食管反流性咳嗽(GERC)的慢性咳嗽患者。他们均接受了咳嗽反射敏感性试验,并对结果进行回顾性分析。

结果

108例慢性咳嗽患者中(76例UACS、19例CVA和13例GERC),女性(1.80)的lgC5明显慢于男性(2.40,P<0.05),咳嗽病程超过12个月的患者(1.80)慢于咳嗽病程在12个月以内的患者(2.40,P<0.05)。不同病因患者的咳嗽敏感性有显著差异(P<0.05),GERC患者(1.49)的lgC5低于CVA患者(2.40,P<0.05)和UACS患者(2.40,P<0.05)。

结论

不同性别、病程及病因的慢性咳嗽患者咳嗽敏感性不同。咳嗽反射敏感性试验对慢性咳嗽的病因诊断具有重要价值。

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