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目的探讨咳嗽变异性哮喘的临床治疗。方法回顾分析我院收治的85例患者的临床资料。结果用药后咳嗽在4~6d消失者42例,7~9d消失者33例,其余患儿均在3周内止咳。25例患儿经追踪半年,均无复发。结论慢性咳嗽是儿科门诊常见的就诊原因,CVA为慢性咳嗽常见病因,临床医生首先须提高对该病的认识,提高对CVA的警觉性,熟练掌握诊断标准,详细询问病史并注意全面分析。对出现反复咳嗽,以夜间或清晨明显,查肺部无异常,在接触诱发因素如:感染、环境变化后发作,有过敏史,运用抗生素及化痰止咳药无效,且除外其他引起咳嗽的疾病,应考虑本病,结合相关检查如支气管舒张试验、支气管激发试验、肺功能检查可确诊。治疗中注意防病治病教育,避免接触诱发因素才能取得更好的治疗效果。
Objective To investigate the clinical treatment of cough variant asthma. Methods The clinical data of 85 patients admitted to our hospital were retrospectively analyzed. Results After treatment cough in 4 ~ 6d disappeared in 42 cases, 7 ~ 9d disappeared in 33 cases, the remaining children were cough in 3 weeks. 25 cases of children were followed for six months, no recurrence. Conclusions Chronic cough is a common cause of pediatric outpatient visits. CVA is a common cause of chronic cough. Clinicians should first raise their awareness of the disease, improve the alertness of CVA, master the diagnostic criteria, and ask history in detail and pay attention to a comprehensive analysis. For repeated cough, at night or early morning obvious, check the lungs no abnormalities in contact with inducing factors such as: infection, after the onset of environmental changes, allergic history, the use of antibiotics and Huatan antitussive ineffective, and in addition to other cause cough disease , Should consider the disease, combined with related tests such as bronchial dilation test, bronchial provocation test, pulmonary function tests can be confirmed. Treatment of disease prevention education, avoid contact with predisposing factors in order to achieve better therapeutic effect.