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Changing etiological frequency of chronic cough in a tertiary hospital in Shanghai, China

机译:中国上海大专慢性咳嗽的病因频率改变慢性咳嗽

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Background: The frequency distributions of the etiologies of chronic cough have changed over time. This study aimed to investigate the changing etiological frequency of chronic cough in a tertiary hospital in Shanghai, China, and to explore the clinical significance. Methods: Medical records of 1,311 patients with chronic cough who visit our hospital between January 2009 and December 2016 were retrospectively reviewed. The etiologies of chronic cough were identified according to a standardized step-by-step diagnostic protocol and the changes in the etiological frequency of chronic cough over the years were using the Chi-squared (? 2 ) test. Results: Cough variant asthma (CVA) (449/1,311, 34.2%), gastroesophageal reflux-related chronic cough (GERC) (374/1,311, 28.5%), upper airway cough syndrome/postnasal drip syndrome (UACS/PNDs) (241/1,311, 18.4%), atopic cough (AC) (188/1,311, 14.3%), and non-asthmatic eosinophilic bronchitis (NAEB) (147/1,311, 11.2%) were the common causes of chronic cough in descending order. The post-infectious cough (PIC) (39/1,311, 3.0%) and angiotensin-converting enzyme inhibitor (ACEI)-induced cough (25/1,311, 1.9%) were less common. During the 8-year period, the proportion of CVA (? 2 =72.86, P 2 =68.80, P 2 =51.38, P 2 =55.95, P 2 =39.09, P Conclusions: The etiological frequency of chronic cough varies over time, and it may encourage the adjustment of the current diagnostic and therapeutic strategies for chronic cough.
机译:背景:慢性咳嗽病因的频率分布随时间变化。本研究旨在探讨中国上海市三级医院慢性咳嗽的病因频率,探讨临床意义。方法:在2009年1月至2016年1月至2016年12月在2016年12月至2016年12月期间,慢性咳嗽1,311名慢性咳嗽患者的病程。根据标准化的逐步诊断方案确定慢性咳嗽的病因,多年来慢性咳嗽的病因频率的变化使用Chi平方(α2)测试。结果:咳嗽变体哮喘(CVA)(449 / 1,311,34.2%),胃食管反流相关的慢性咳嗽(GERC)(374 / 1,311,28.5%),上气道咳嗽综合征/后滴水综合征(UACS / PNDS)(241 / 1,311,18.4%),特应咳嗽(AC)(AC)(188 / 1,311,14.3%)和非哮喘嗜酸性嗜酸性支气管炎(NAEB)(147 / 1,311,11.2%)是降序慢性咳嗽的常见原因。发后咳嗽(PIC)(39 / 1,311,3.0%)和血管紧张素转换酶抑制剂(ACEI)诱导咳嗽(25 / 1,311,1.9%)不太常见。在8年期间,CVA的比例(α2= 72.86,p 2 = 68.80,p 2 = 51.38,p 2 = 55.95,p 2 = 39.09,P结果:慢性咳嗽的病因频率随着时间的推移而变化,它可能会鼓励调整目前对慢性咳嗽的诊断和治疗策略。

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