中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
29期
34-35
,共2页
慢性咳嗽%临床诊断%特异性治疗%临床疗效
慢性咳嗽%臨床診斷%特異性治療%臨床療效
만성해수%림상진단%특이성치료%림상료효
Chronic cough%Clinical diagnosis%Specific treatment%Clinical efficacy
目的：探讨成人慢性咳嗽患者临床有效的诊断和治疗方法。方法：2012年1月-2014年1月收治慢性咳嗽患者100例，随机分成试验组与对照组，每组50例。两组患者均进行相同的诊断，对照组均给予复方甲氧那明治疗，试验组根据诊断结果给予特异性治疗，分析两组患者的诊断结果并比较两种治疗方案临床疗效的差异。结果：①100例慢性咳嗽患者经临床诊断发现：咳嗽变异性哮喘44例(44%)，鼻后滴流综合征36例(36%)，胃食管反流性咳嗽12例(12%)，嗜酸性粒细胞性支气管炎6例(6%)，其他病因2例(2%)。②试验组痊愈32例(64%)，有效14例(28%)，总有效率92%，较对照组总有效率70%有显著提高，两组比较差异有统计学意义(P＜0.05)。结论：根据成人慢性咳嗽患者的临床表现及症状并结合临床各检查结果，对患者进行有效诊断，找出致病因素并根据患者的具体病因实施特异性治疗可以明显提高临床疗效，减轻患者不适，促进患者疾病的治疗和康复。
目的：探討成人慢性咳嗽患者臨床有效的診斷和治療方法。方法：2012年1月-2014年1月收治慢性咳嗽患者100例，隨機分成試驗組與對照組，每組50例。兩組患者均進行相同的診斷，對照組均給予複方甲氧那明治療，試驗組根據診斷結果給予特異性治療，分析兩組患者的診斷結果併比較兩種治療方案臨床療效的差異。結果：①100例慢性咳嗽患者經臨床診斷髮現：咳嗽變異性哮喘44例(44%)，鼻後滴流綜閤徵36例(36%)，胃食管反流性咳嗽12例(12%)，嗜痠性粒細胞性支氣管炎6例(6%)，其他病因2例(2%)。②試驗組痊愈32例(64%)，有效14例(28%)，總有效率92%，較對照組總有效率70%有顯著提高，兩組比較差異有統計學意義(P＜0.05)。結論：根據成人慢性咳嗽患者的臨床錶現及癥狀併結閤臨床各檢查結果，對患者進行有效診斷，找齣緻病因素併根據患者的具體病因實施特異性治療可以明顯提高臨床療效，減輕患者不適，促進患者疾病的治療和康複。
목적：탐토성인만성해수환자림상유효적진단화치료방법。방법：2012년1월-2014년1월수치만성해수환자100례，수궤분성시험조여대조조，매조50례。량조환자균진행상동적진단，대조조균급여복방갑양나명치료，시험조근거진단결과급여특이성치료，분석량조환자적진단결과병비교량충치료방안림상료효적차이。결과：①100례만성해수환자경림상진단발현：해수변이성효천44례(44%)，비후적류종합정36례(36%)，위식관반류성해수12례(12%)，기산성립세포성지기관염6례(6%)，기타병인2례(2%)。②시험조전유32례(64%)，유효14례(28%)，총유효솔92%，교대조조총유효솔70%유현저제고，량조비교차이유통계학의의(P＜0.05)。결론：근거성인만성해수환자적림상표현급증상병결합림상각검사결과，대환자진행유효진단，조출치병인소병근거환자적구체병인실시특이성치료가이명현제고림상료효，감경환자불괄，촉진환자질병적치료화강복。
Objective:To investigate the diagnosis and treatment of adults with chronic cough.Methods:100 patients with chronic cough were selected from January 2012 to January 2014.The patients were randomLy divided into two groups,the experimental group and the control group,each of the group with 50 cases.All patients were subjected to the same diagnosis,then the control group patients were given compound methoxyphenamine,and the experimental group were given specific treatment based on the diagnosis results.The results of the two groups with the diagnosis were analyzed and the clinical efficacy were compared between the two groups.Results:①100 cases of patients with a clinical diagnosis of chronic cough found:cough variant asthma 44 cases(44%),postnasal drip syndrome in 36 cases(36%),gastroesophageal reflux cough in 12 cases(12%),eosinophilic bronchitis in 6 cases(6%),other causes in 2 patients(2%).②The patients in the experimental group were cured 32 cases(64%),effective in 14 cases(28%),and the total effective rate was 92%,which was significantly improved compared with the control group with 70%of the total efficiency,and the difference was statistically significance(P<0.05).Conclusion:According to the clinical manifestations of adult patients with chronic cough and symptoms,and combining the results of all clinical examination,then implying specific treatment,finding the specific cause,depending on the cause to implement specific treatment,it can significantly improve clinical outcomes,reduce patient discomfort,and promote treatment and rehabilitation of patients with the disease.
