Bai Haodong, Sha Bingxian, Xu Xianghuai, Yu Li
Department of Pulmonary and Critical Care Medicine, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Front Physiol. 2021 May 7;12:654797. doi: 10.3389/fphys.2021.654797. eCollection 2021.
Chronic cough is a common complaint for patients to seek medical cares all over the world. Worldwide, about two thirds of chronic cough patients are females. However, in some regions of China the prevalence of chronic cough between sexes is roughly the same. Estrogen and progesterone can not only have an effect on transient receptor potential vanilloid 1 channel, eosinophils and mast cells, but also influence laryngeal dysfunction, gastroesophageal reflux disease and obstructive sleep apnea hypopnea syndrome, which may lead to increased cough sensitivity in women. On the other hand, the quality of life was adversely affected more in female patients with chronic cough. Both hormones possibly cause gender difference in chronic cough.
慢性咳嗽是世界各地患者寻求医疗护理的常见主诉。在全球范围内,约三分之二的慢性咳嗽患者为女性。然而,在中国的一些地区,慢性咳嗽的男女患病率大致相同。雌激素和孕激素不仅会对瞬时受体电位香草酸受体1通道、嗜酸性粒细胞和肥大细胞产生影响,还会影响喉部功能障碍、胃食管反流病和阻塞性睡眠呼吸暂停低通气综合征,这可能导致女性咳嗽敏感性增加。另一方面,慢性咳嗽女性患者的生活质量受到的负面影响更大。这两种激素可能导致慢性咳嗽的性别差异。