日本慢性咳的发病率和原因
Yoshihisa Ishiura1, Masaki Fujimura2, Haruhiko Ogawa3
1First Department of Internal Medicine, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan.
Respiratory investigation
|March 24, 2024
概括
这项研究确定了日本慢性咳的主要原因,包括咳变异性喘和鼻综合征 (SBS). 它强调了治疗与GER相关的咳所面临的挑战,强调了对持续性咳更好的诊断和治疗策略的需要.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床流行病学临床流行病学
背景情况:
- 慢性咳显著影响生活质量,并造成社会负担.
- 在日本缺乏关于慢性咳的频率和治疗的全国数据.
研究的目的:
- 在日本各地调查慢性咳的原因和治疗结果.
- 确定常见的病因和影响治疗成功的因素.
主要方法:
- 全国范围内对咳持续超过8周的患者进行调查.
- 在两年内,从与日本咳协会关联的呼吸道诊所收集数据.
- 对334名患者的分析,以确定致病原因和治疗反应.
主要成果:
- 咳变体喘 (92名患者),鼻综合征 (SBS,36名患者) 和亚托皮咳 (31名患者) 是最常见的原因.
- 与胃食道反流 (GER) 相关的复杂咳显示治疗成功率较低.
- 在未被诊断的患者和SBS患者中观察到更长的治疗持续时间.
结论:
- 咳变体喘,SBS和亚托皮性咳是日本慢性咳的主要原因.
- 与GER相关的咳,尤其是复杂的咳,往往是耐火的.
- 这项研究为日本慢性咳病因和治疗提供了第一个全国性的证据.
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