基于耳鼻喉科疾病所致慢性咳嗽的临床观察.docVIP

基于耳鼻喉科疾病所致慢性咳嗽的临床观察 　　【摘要】 目的：探讨与分析耳鼻喉科疾病所致慢性咳嗽的主要原因及其治疗方案。方法：选取2012年4月-2014年4月于笔者所在医院接受治疗的80例慢性咳嗽患者作为研究对象，均排除呼吸道诱因，分析其临床资料，并配合相关检查，确定其致病原因，并对患者采取对症治疗方案。结果：（1）经耳鼻喉科全面检查提示，鼻窦炎21例，变应性鼻炎31例，喉部炎症10例，变应性咳嗽11例，变应性咽炎7例。（2）不同类型慢性咳嗽患者临床治疗效果比较差异无统计学意义（P0.05）。结论：诱发慢性咳嗽的因素一般比较多，在排除呼吸内科因素后，需配合X胸片检查、血常规检查、胃镜检查及喉镜检查等方面，以确定致病诱因，给予正确、合理的治疗方案，降低误诊率，改善患者的病情。 　　【关键词】 耳鼻喉疾病； 诊断； 慢性咳嗽； 治疗 　　中图分类号 R76 文献标识码 B 文章编号 1674-6805（2015）9-0016-02 　　The Clinical Observation of Chronic Cough Caused by Otorhinolaryngologic Disease/SONG Xi.//Chinese and Foreign Medical Research，2015，13（9）：16-17 　　【Abstract】 Objective：To investigate and analyse the main reason and its treatment of chronic cough caused by Otorhinolaryngologic disease.Method：80 cases of chronic cough patients from April 2012 to April 2014 in our hospital were selected as the research objects，the respiratory disease were excluded，the clinical data were analyzed，and with the relevant inspection to determine the cause，and took symptomatic treatment options for patients.Result：The overall check Department of ENT tips，21 cases of sinusitis，allergic rhinitis was 31 cases，10 cases of laryngeal inflammation，11 cases of cough allergy，allergic pharyngitis was 7 cases.The clinical treatment effect of chronic cough patients with no different types had no significant differences（P0.05）.Conclusion：The factors of chronic cough are more generally，in the exclusion of respiratory department of internal medicine factors，the X-ray examination，blood routine examination，gastroscopy and laryngoscopy are necessary to determine the pathogenic causes， the right and reasonable treatment is given to reduce the misdiagnosis rate and improve the patient’s condition. 　　【Key words】 Otorhinolaryngologic disease； Diagnosis； Chronic cough； Treatment 　　First-author’s address：The First Hospital of Changsha City，Changsha 410000，China 　　doi：10.14033/j.cnki.cfmr.2015.09.006 　　慢性咳嗽是临床呼吸系统常见疾病之一，致病原因相对来说较多。有研究报道提示，慢性咳嗽不仅与人体呼吸系统疾病存在一定的关联，同时与耳鼻喉科疾病的进展联系相对紧密[1]。对部分接受呼