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題名 | Assessment and Treatment of Ambulatory Chronic Cough Patients=慢性咳嗽門診病人之評估與治療 |
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作者 | 徐青立; 賴信良; 彭瑞鵬; | 書刊名 | 胸腔醫學 |
卷期 | 16:3 2001.09[民90.09] |
頁次 | 頁156-161 |
分類號 | 415.4 |
關鍵詞 | 慢性咳嗽; Chronic cough; |
語文 | 英文(English) |
中文摘要 | 慢性咳嗽的定義為症狀持續超過三週。有效的治療端賴病因之確認及針對病因所作之治療。基於一強調咳嗽反射解剖構造之方式,對217位患有慢性咳嗽之不吸煙成年男性門診病人(54±20 歲)尋找其病因。百分之92%的病人,其咳嗽來自於鼻涕倒流。胃-食道逆流症,氣喘,及服用血管收縮素轉化(?)抑制劑四者之一或其組合。由於服用血管收縮素轉化(?)抑制劑乃慢性咳嗽第二常見(26%)之原因,在評估合併高血壓之病人時,應優先考慮此病因。在作治療計劃時,應考量此四種情況間之關聯。本研究中,針對病因之特異治療有96%之成功率。 |
英文摘要 | Chronic cough is defined as cough lasting for more than three weeks. The effective treatment of chronic cough relies on the appreciation of its etiology and the specific treatment directed at it accordingly. Based on an approach with an emphasis on the anatomical structure of the cough reflex, the etiology of 217 adult non-smoking ambulatory patients (54±20 year old) with chronic cough was determined. The etiology of 92% of all the cases studied was any one or the combination of 4 conditions: postnasal drip syndrome, gastroesophageal reflux disease, asthma, and angiotensin-converting enzyme inhibitor (ACEI) intake. As the second most common (26%) etiology of chronic cough, ACEI intake should be high on the list of differentials when evaluating patients with cough and hypertension. The interrelation between these 4 conditions should be considered in determining the treatment strategy. In our series, specific treatment directed at the etiology achieved a success rate of 96%. |
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