42例鼻后滴漏综合征致儿童慢性咳嗽临床分析.pdfVIP

318 doi：10．3969／j．issn．1007-4856．2009．06．007 42例鼻后滴漏综合征致儿童慢性咳嗽临床分析 严福波 曾旭东 何源萍 张清元 【摘要】目的 探讨以慢性咳嗽为主要表现的儿童鼻后滴漏综合征诊断和治疗程序。方法 以慢性咳嗽为主要表现并确诊 为鼻后滴漏综合征的儿童患者42例，采用抗炎与抗变态反应疗法以及必要的手术疗法进行治疗；疗程结束后，以主观症状改善 程度作为评价指标，综合分析患儿临床特点及其治疗反应性，并随访3个月以上。结果 本组患儿中，治愈30例(71．42％)，好转12 例(28．58％)，总有效率100％。结论 表现为鼻后滴漏综合征的儿童鼻一鼻窦疾病可以并发慢性咳嗽，并可能以此为主要临床特 点。积极治疗鼻一鼻窦疾病，可以有效地消除该类继发性咳嗽症状。 【关键词】鼻后滴漏综合征；慢性咳嗽；儿童患者；治疗 Clinicalanalysison42childrencaseswithchroniccoughcomplicated frompostnasaldripsyndrome(PNDs) YANFubo,ZENGXudong, HEYuanping．ZIIANG Qzngyuan Dept．of Otolaryngology, the Centraittospftal ofXiaogan, tluazhong [／nfversfty of Science ＆ TechnologyTongjiMedicalColiege,ttubeL432100,China [Abstract]ObjectiveToexplorethefeasibleproceduresforthediagnosisandtreatmentofchildrenwithchroniccoughasthe mainmanifestationofpostnasaldripsynrdome(PNDs)basedonaclinicaltria1．MethodsIncludedinthisstudywere42chilrdencases withPNDsmanifestedthemselvesaschroniccoughasthemainclinicalpresentations．Theywereactivelyrteatedbyanti—inflammato~ and／oranti—allergictreatment，supplementedwithnecessarysurgicalprocedures．Thereafter,allthesechilrdenwerefollowedupofrmore than3monthsandclinicallyevaluatedwiththeirimprovinglevelsofsubjectivesymptomsasthemainindicatorstosumuptheclinical characteristicsofthelesionandtherapeuticeffectofthetherapyonthesecasesbytheendoffollowingupperiod，followingacareful analysisontheirallclinicaldata．ResultsnIthisgroupofpatients，30cases(71．42％)wereclarifiedintohtesub—groupofcured，and12 (28．58％)wereclarifiedintothesub—groupofimproved，withatotaleffectiverateSOhighasto100％．ConclusionsThesechilrdencases wihtPNDs，causedbythediseasesinnasalcavityand／orsinuses，maymanifestthesymptom ofchroniccoughashteirmainclinicalfeature． Activerteamt entontheselesionscaneffectivelycurethis ndofsecondarycondition． [Keywords] Postnasaldripsynrdome；Chroniccough；Chilrden；Therapy