摘要
目的探讨上呼吸道咳嗽综合征(UACS)的临床特点、诊断及治疗方式。方法分析我科2006年1月～2010年11月治疗的123例UACS患者的临床资料,合并变应性鼻炎76例、慢性鼻炎28例、鼻-鼻窦炎19例;男女比例为2:1,年龄12～64岁,中位年龄38岁。结果除对症治疗原发病外,对76例合并变应性鼻炎患者予鼻用糖皮质激素和(或)H1受体拮抗剂,28例合并慢性鼻炎患者予鼻用糖皮质激素和减充血剂喷鼻,19例鼻-鼻窦炎患者予鼻用糖皮质激素+抗生素(必要时加用H1受体拮抗剂),所有UACS患者均予鼻腔冲洗及中成药治疗,10d后咳嗽缓解率为96.7%(119/123)。结论治疗鼻部疾病可有效缓解UACS患者的咳嗽症状。
Objective To evaluate the clinical feature, diagnosis and treatment of upper airway cough syndrome （UACS）. Methods Clinical data of 123 patients with UACS in our department from Jan. 2006 to Nov. 2010 were ana- lysed. Allergic rhinitis was diagnosed in 76 cases,chronic rhinitis in 28 cases, and rhino-sinusitis in 19 cases. Male to fe- male ratio was 2 to 1. The median age at diagnosis was 38 years （range： 12-64 years ）. Results In addition to symptomatic treatment of primary diseases, 76 patients combined with allergic rhinitis were treated with nasal corticoste- roids and（or） H1 receptor antagonist, 28 cases of chronic rhinitis were treated with nasal corticosteroids and decongestant nasal spray, 19 cases of nose-sinusitis were treated with nasal corticosteroids plus antibiotics（ when necessary , the addi- tion of HI-receptor antagonist）. All UACS patients were given nasal irrigation and Chinese medicine treatment. Ten days after treatment, the cough remission rate was 96.7% （119/123）. Conclusions The therapy to nasal disorders could re- lieve the chronic cough symptoms in patients with UACS. （Chin J Ophthalmol and Otorhinolaryngol,2012,12：51-53）
出处
《中国眼耳鼻喉科杂志》
2012年第1期51-53,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
