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目的探讨上气道咳嗽综合征(UACS)的临床特点、诊断及治疗。方法回顾性分析UACS患者140例病历资料,诊断过程中曾误诊为慢性支气管炎102例、咳嗽变异性哮喘25例、抽动症13例,确诊后对所有患者按照鼻部疾病进行治疗。结果经治疗14 d后咳嗽消失或好转的有129例,总缓解率92.1%(129/140)。结论UACS容易误诊,鼻咽内窥镜检查(鼻内镜或电子鼻咽镜)是诊断UACS的有力工具。明确诊断后对因治疗,UACS预后良好。
Objective To investigate the clinical features, diagnosis and treatment of upper airway cough syndrome (UACS). Methods The clinical data of 140 cases of UACS patients were retrospectively analyzed. 102 cases of chronic bronchitis, 25 cases of cough variant asthma and 13 cases of tic disorder were misdiagnosed during the diagnosis. All patients were treated according to nasal diseases after diagnosis. Results 129 cases of cough disappeared or improved after 14 days of treatment, the total remission rate was 92.1% (129/140). Conclusions UACS is easy to misdiagnosis. Nasopharyngeal endoscopy (endoscopic or electronic nasopharyngoscopy) is a powerful tool to diagnose UACS. Clear diagnosis of the treatment, UACS good prognosis.