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中国咳嗽流行病学

2013/09/12

   摘要:
   咳嗽是患者就医最常见的主诉之一。咳嗽的误诊和误治在中国普遍存在。在社区,因上呼吸道感染导致的急性咳嗽的患病率为9%~64%,而在大多数的调查中慢性咳嗽的患病率>10%,范围为7.2%~33%。慢性咳嗽的常见原因是上气道咳嗽综合征(以前被称为后鼻滴流综合症[PNDS])、咳嗽变应性哮喘(CVA)、胃食管反流性咳嗽(GERD)和嗜酸粒细胞性支气管炎(EB)。在中国、英国和美国,咳嗽的常见原因存在地区差异和性别分布差异。中国慢性咳嗽的最常见原因是CVA,依次为UACS、EB和变应性咳嗽(AC),中国男性与女性患者数量相当。咳嗽的危险因素包括冷空气、吸烟、环境污染物、有毒物质和过敏原、以及不合理的饮食习惯。

 

 (林江涛 审校)
Cough. 2013 Jul 8;9(1):18. doi: 10.1186/1745-9974-9-18.


 


Epidemiology of cough in relation to China.
 

Lai K, Pan J, Chen R, Liu B, Luo W, Zhong N.
 

Abstract
Cough is one of the most common complaints for which patients seek medical attention. Misdiagnosis and mistreatment of cough exist commonly in China. The prevalence of acute cough caused by upper airway infection fluctuates between 9% and 64% in the community, for chronic cough, the prevalence >10% in most surveys, ranging from 7.2%-33%. The common causes of chronic cough are upper airway cough syndrome (previously called as post nasal drip syndrome [PNDS]), cough variant asthma (CVA), gastroesophageal reflux related cough (GERD) and eosinophilic bronchitis (EB). There is a regional discrepancy regarding the prevalence of common causes of cough and distribution of gender among China, UK, USA, the most common cause of chronic cough in China are CVA, followed by UACS, EB and atopic cough (AC), the male is almost equal to female in numbers in China. The risk factors for cough includes cold air, smoking, environmental pollutants, noxious substances and allergens, and unreasonable diet habits.

 

Cough. 2013 Jul 8;9(1):18. doi: 10.1186/1745-9974-9-18.


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