CAJ | 학술논문

目的了解慢性咳嗽患者的诊疗状况.方法以首次到广州呼吸疾病研究所门诊就诊的慢性咳嗽患者为对象,人选标准:以咳嗽为主要症状或惟一症状,X线胸片检查无明显异常.通过调查问卷的方式,记录其病情及诊治情况.结果共调查558例慢性咳嗽患者,平均年龄为(42.35±14.38)岁,其中男性51.97%,女性48.03%,平均病程为(58.07±83.74)月.平均就诊医疗机构数是3.26±3.11;平均就诊次数是(20.80±30.00)次.80.82%的患者曾被诊断为"支气管炎、慢性支气管炎或慢性咽炎".在患者曾用的治疗药物中,有91.58%患者曾用抗生素,92.89%曾用止咳药.仅有0.72%的患者治疗后完全缓解,9.50%明显缓解.结论慢性咳嗽存在严重的误诊误治现象,慢性咳嗽的病因诊断有待进一步加强.
목적 료해만성해수환자적진료상황.방법이수차도엄주호흡질병연구소문진취진적만성해수환자위대상,인선표준:이해수위주요증상혹유일증상,X선흉편검사무명현이상.통과조사문권적방식,기록기병정급진치정황.결과공조사558례만성해수환자,평균년령위(42.35±14.38)세,기중남성51.97%,녀성48.03%,평균병정위(58.07±83.74)월.평균취진의료궤구수시3.26±3.11;평균취진차수시(20.80±30.00)차.80.82%적환자증피진단위"지기관염、만성지기관염혹만성인염".재환자증용적치료약물중,유91.58%환자증용항생소,92.89%증용지해약.부유0.72%적환자치료후완전완해,9.50%명현완해.결론만성해수존재엄중적오진오치현상,만성해수적병인진단유대진일보가강.
Objective To evaluate the diagnosis and management of patients with chronic cough.Methods The patients with chronic cough were recruited from outpatient of Guangzhou Institute of Respiratory Disease. Information regarding previous diagnosis and treatment of the chronic cough was elicited through the survey questionnaire. Results A total of 558 outpatients with chronic cough completed the questionnaire. The mean age of the patients was (42.35±14.38) years, 51.97% were male,48.03% were female. The mean duration of cough was (58.07±83.74) months, the average number of clinic which the patient visited was 2.67±3. 11, and the mean times of medical service was (20.80± 30.00) times. 80.82% of the patients were diagnosed as" bronchitis, chronic bronchitis or chronic pharyngitis" before. 91.58% of the prescribtion contained antibiotics, 92.89% contained antibechic. 0.72% patients got completely relief, and 9.5% obviously relief after treatment. Conclusions Most of the patients with chronic cough were ever misdiagnosed and mistreated, we should pay more attention to the etiological diagnosis of chronic cough.