CAJ | 학술논문

　　目的探讨慢性咳嗽常见病因，并通过中西医结合治疗慢性咳嗽的方法，寻找有效的治疗方法。方法选取我院门诊慢性咳嗽患者90例，通过询问病史、体格检查、肺部X线检查、肺功能、食道24h H P检测，回顾分析90例患者病史资料，采取随机抽样方法平均分为两组，对照组采取单纯金荞麦片治疗，治疗组在对照组的基础上联合舒利迭（沙美特罗替卡松粉吸入剂）治疗。随访2个月，观察临床症状变化。结果主要病因为咳嗽变异性哮喘（45例）、上气道咳嗽综合征（22例）、嗜酸粒细胞性支气管炎（12例）、食管胃反流性咳嗽（6例）、不明原因性咳嗽（5例）。随访期间两组内比较，治疗组有效率达89%，明显优于对照组33%（p＜0.05）。结论慢性咳嗽边检查、边治疗，中西医结合治疗可提高临床疗效，缩短治疗时间，对于缓解患者临床症状以及减少经济支出大有裨益。
　　목적탐토만성해수상견병인，병통과중서의결합치료만성해수적방법，심조유효적치료방법。방법선취아원문진만성해수환자90례，통과순문병사、체격검사、폐부X선검사、폐공능、식도24h H P검측，회고분석90례환자병사자료，채취수궤추양방법평균분위량조，대조조채취단순금교맥편치료，치료조재대조조적기출상연합서리질（사미특라체잡송분흡입제）치료。수방2개월，관찰림상증상변화。결과주요병인위해수변이성효천（45례）、상기도해수종합정（22례）、기산립세포성지기관염（12례）、식관위반류성해수（6례）、불명원인성해수（5례）。수방기간량조내비교，치료조유효솔체89%，명현우우대조조33%（p＜0.05）。결론만성해수변검사、변치료，중서의결합치료가제고림상료효，축단치료시간，대우완해환자림상증상이급감소경제지출대유비익。
Objectiv: To analysis common cause of chronic cough, looking for a way of traditional Chinese medicine treatment for chronic cough. Methods A total of 90 chronic cough cases were enrol ed, by inquiring disease history,medical examination,chest X—ray,pulmonary function test,the value of monitoring esopHageal 24 h pH inception Etc. to retrospecte and analysis clinical data of 90 patients with chronic cough. Average divided into two groups to take a random sampling method, control group take simple gold buckwheat in treatment, treatment group take seretide on the basis of control group, fol owed for 2 months. Result the primary cause for chronic cough with cough variant asthma 45 cases(50%), fol owed by upper airway cough syndrome 22 patients(24.4%),eosinopHilic bronchitis12 cases(13.3%),gastroesopHa al reflux cough al ergic cough in 6 cases(6.7%), unexplained cough in 5 cases(5.5%).To symptomatic treatment,achieve a satisfactory effect.Conclusion Side check of chronic cough, edge treatment, Integrative Medicine is to improve the clinical efficacy and shorten treatment time of great benefit for the remission of clinical symptoms, and reduce the economic costs.