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78例咳嗽变异性哮喘的临床分析和治疗

, PP. 792-794

Keywords: 咳嗽变异性哮喘,肺功能,沙美特罗-替卡松

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Abstract:

目的观察咳嗽变异性哮喘临床特点和吸入沙美特罗-替卡松治疗前后肺功能变化情况。方法回顾性分析78例咳嗽变异性哮喘患者临床资料,总结其临床特点,并对随诊的46例CVA患者以SENSORMED-ICS-6200型肺功能仪检测观察吸入沙美特罗-替卡松治疗3个月后的肺功能及PC20值变化。结果78例CVA患者均以咳嗽为主要临床表现,诱因主要为刺激性气味或油烟、螨、蒿草、粉尘及花粉等;49例(62%)患者合并鼻炎;误诊为支气管炎46例(58.97%),误诊为咽炎32例(41.03%),误诊为上感18例(23.08%);吸入沙美特罗-替卡松后临床症状缓解或消失,患者肺功能PEF、PEF日变异率、FVC、PC20值及FEV1%较治疗前改善。结论咳嗽变异性哮喘以咳嗽为主要或唯一表现,合并鼻炎程度高,易误诊漏诊,吸入沙美特罗-替卡松有效。

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