【摘要】 目的 探讨咳嗽变异性哮喘的临床特征及诊治措施。方法 回顾分析80例患者的临床资料。结果 本组患者确诊前均经抗生素、抗病毒药及各种止咳化痰药物治疗,咳嗽迁延不愈,确诊后应用沙美特罗替卡松(舒利迭)吸入剂,配合中药祛痰通络,2 d起效,1周后临床症状基本消失,继续维持治疗2~3个月减量,病情基本稳定。结论 CVA一旦确诊,治疗上应按哮喘治疗原则即坚持长期、持续、规范、个体化的激素,支气管舒张剂治疗。临床上对反复顽固性咳嗽的成年患者,应该做支气管哮喘的相关检查以确定或排除CVA的存在,减少CVA的误诊及误治。

    【关键词】咳嗽变异性哮喘;临床特征;诊治

    Diagnosis and treatment of 80 patients with cough variant asthma

    ZHOU Li-juan.Kaifeng second People’s Hospital,Henan 475002,China

    【Abstract】 Objective To investigate the cough variant asthma clinical features and treatment measures.Methods Retrospective analysis of clinical data of 80 patients.Results The patients were diagnosed with pre-antibiotics,antiviral drugs and various drug treatment cough phlegm, but persistent unhealed,diagnosed after the application of salmeterol and fluticasone propionate(Seretide)inhaler,with traditional Chinese medicine expectorant Tongluo,2 d onset after 1 week,clinical symptoms were disappeared,and continued maintenance therapy 2 to 3 months,reduced emissions,the condition was basically stable.Conclusion CVA,once diagnosed,the treatment of asthma treatment should be adhered to the principles of long-term,sustainable,standardized,individualized hormone therapy of bronchial dilator.Clinical repeated on adult patients with intractable cough,It should make asthma-related checks to confirm or exclude the presence of CVA,reduce the misdiagnosis and misuse CVA rule. ......