在日本,亚急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; Department of Respiratory Medicine, Kansai Medical University Medical Center, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan.
Respiratory investigation
|December 7, 2024
概括
在亚急性咳中,后传染性咳不如人们想象的那么常见. 咳变异性喘,无性咳和鼻综合征是主要原因,往往导致慢性咳.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床研究 临床研究
背景情况:
- 亚急性咳 (持续3-8周) 与急性和慢性咳不同.
- 感染后咳以前被认为是亚急性咳的主要原因.
- 在细急性咳原因的范围上存在有限的研究.
研究的目的:
- 调查亚急性咳的各种原因和频率.
- 为了区分次急性咳和急性和慢性咳的病因.
主要方法:
- 对148名咳持续3-8周的患者进行前性研究.
- 患者参观了日本咳协会附属的呼吸道诊所.
- 排除不符合亚急性咳定义的患者.
主要成果:
- 68.3%的亚急性咳患者进展为慢性咳.
- 确定的主要原因:咳变异性喘 (44),亚托皮咳 (24),阴支骨综合征 (13),后传染性咳 (7).
- 复杂的病例 (例如,咳变异性喘与性咳) 和未知原因增加了慢性咳的进展.
结论:
- 在亚急性咳中,后传染性咳的发病率比以前认为的要低.
- 咳变异性喘,性咳和鼻综合征是次急性咳的关键原因.
- 结合的疾病,如咳变异性喘和性咳可以先于耐火性慢性咳,需要仔细的诊断和治疗.
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