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小儿慢性咳嗽的病因与临床治疗分析

Analysis of the Etiology and Clinical Treatment of Chronic Cough in Children
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摘要 目的对比慢性咳嗽患儿与非慢性咳嗽患儿的病因差异,并阐述临床治疗措施。方法选取2017年3月-2019年5月于该院接受治疗的咳嗽患儿107例为研究对象,根据患儿病程时间差异分为两组。观察组54例患儿属于慢性咳嗽,对照组53例患儿属于非慢性咳嗽,统计并分析两组患儿病因差异,对照组患儿予以常规治疗,观察组患儿在明确病因基础上实施针对性治疗,比较两组患儿治疗效果。结果观察组患儿病因中,以呼吸道感染29.63%、变异性哮喘25.93%占比最高,同时季节性过敏症状20.37%、上呼吸道综合征(12.96%)以及肺部先天发育异常(9.26%)等同样会引起慢性咳嗽,而对照组患儿病因以流感病毒感染73.58%占比最高(χ^2=6.920、4.980、5.090、4.740、5.150、58.800,P<0.05)。观察组患儿经针对性治疗后,总疗效100.00%明显优于对照组73.58%,差异有统计学意义(χ^2=7.630,P<0.05)。结论导致小儿慢性咳嗽的病因相对复杂,在临床治疗期间,应先明确病因方可针对性治疗,保证治疗效果,帮助患儿更快恢复健康。 Objective To compare the etiological differences between children with chronic cough and children with non-chronic cough,and to describe clinical treatment measures.Methods From March 2017 to May 2019,the study subjects selected 107 children with cough who were treated in the hospital.The children were divided into two groups according to the difference in the duration of the disease.54 children in the observation group belong to chronic cough,and 53 children in the control group belong to non-chronic cough.The differences in the causes of the two groups of children are counted and analyzed.The children in the control group were given conventional treatment,and the children in the observation group were implemented targeted treatment based on the clear cause,comparing the treatment effects of the two groups of children.Results Among the etiologies of children in the observation group,29.63%of respiratory infections and 25.93%of variant asthma accounted for the highest proportion.At the same time,20.37%of seasonal allergies,12.96%of upper respiratory syndrome,and 9.26%of congenital pulmonary abnormalities also caused chronic cough.73.58%of the children in the control group were infected with influenza virus(χ^2=6.920,4.980,5.090,4.740,5.150,58.800,P<0.05).After targeted treatment of children in the observation group,the total curative effect of 100.00%was significantly better than that of the control group 73.58%,and the difference was statistically significant(χ^2=7.630,P<0.05).Conclusion The cause of chronic cough in children is relatively complicated.During clinical treatment,the cause should be clarified before targeted treatment can be performed to ensure the therapeutic effect and help children recover faster.
作者 朱艳丽 ZHU Yan-li(Department of Pediatrics,Funing County People's Hospital,Yancheng,Jiangsu Province,224400 China)
出处 《世界复合医学》 2020年第8期35-37,共3页 World Journal of Complex Medicine
关键词 小儿 慢性咳嗽 病因 临床治疗 Children Chronic cough Etiology Clinical treatment
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