CAJ | 학술논문

目的调查咳嗽变异性哮喘(CVA)在不明原因慢性咳嗽中的患病率并进行相关因素分析.方法对入选的慢性咳嗽患者经过详细询问病史和体格检查、胸部X线检查、血嗜酸粒细胞分类计数、肺通气功能和组织胺激发试验或支气管扩张试验,根据检查结果做出CVA的明确诊断;并对CVA患者填写相关因素调查问卷.结果 473例慢性咳嗽患者中,确诊CVA 95例(20.08%),其中男44例(46.31%)、女51例(53.68%).相关因素分析显示CVA与多种因素有关.结论 CVA以春秋两季多发,与过敏史、哮喘家族史相关,可由呼吸道感染、吸入油烟或刺激性气体、运动及劳累诱发.
목적 조사해수변이성효천(CVA)재불명원인만성해수중적환병솔병진행상관인소분석.방법 대입선적만성해수환자경과상세순문병사화체격검사、흉부X선검사、혈기산립세포분류계수、폐통기공능화조직알격발시험혹지기관확장시험,근거검사결과주출CVA적명학진단;병대CVA환자전사상관인소조사문권.결과 473례만성해수환자중,학진CVA 95례(20.08%),기중남44례(46.31%)、녀51례(53.68%).상관인소분석현시CVA여다충인소유관.결론 CVA이춘추량계다발,여과민사、효천가족사상관,가유호흡도감염、흡입유연혹자격성기체、운동급로루유발.
Objective To study the morbidity of cough variant asthma (CVA) among patients with chronic cough syndrome and its relative risk factors. Methods Patients were recruited with detailed history on their illness. Data were collected on physical examination, chest X-ray, eosinophil cell counts, pulmonary ventilation with histamine stimulating test and bronchi dilation test. According to available data, diagnosis of CVA was confirmed and the relative factors Questionnaire form was completed for each patient. Results Among 473 patients with chronic cough, 95 (44 male and 51 female) were confirmed to be CVA (20.08%). Analysis of the relative factors suggested that CVA was associated with multiple factors. Morbidity of CVA was associated with season, personal histories on allergy and family history on asthma, CVA could be induced by upper respiratory tract infection, inhale of oil vapor, acrimony air, over-burdened physical exercises etc. Conclusion For patients with chronic cough symptom, clear diagnosis of CVA, avoid of passable risk factors and timely medical intervention when necessary, would be helpful in controlling clinical courses and improving the prognosis of the disease.