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目的探讨鼻后滴漏综合征(PNDs)致儿童慢性咳嗽的因素及诊断与治疗方法。方法回顾性分析以慢性咳嗽为主要表现并确诊为PNDs的238例患儿,采用抗炎、抗变应反应、解除鼻腔阻塞、通畅鼻窦引流及减低咳嗽反射等治疗方法。疗程结束后,以患儿主诉及相应检查进行评定,以主观症状是否改善为评价指标,综合分析患儿的临床特点及治疗反应,并随访3个月。结果本组1个月治愈者135例(56.8%);2个月治愈者176例(73.9%);3个月治愈者220例(92.4%)。18例(7.6%)症状改善不明显。结论对表现为慢性咳嗽的PNDs患儿,应积极综合治疗鼻后滴漏,可有效消除继发性咳嗽。
Objective To investigate the factors of chronic cough caused by postnasal drip syndrome (PNDs) in children and its diagnosis and treatment. Methods A total of 238 children with chronic cough as the main manifestation and diagnosed as PNDs were retrospectively analyzed. Anti-inflammatory, anti-allergic reactions, nasal obstruction, sinus drainage and cough reflex were used. After the course of treatment, the patients’ complaints and corresponding examinations were evaluated. Whether the subjective symptoms were improved was evaluated, and the clinical features and treatment response were analyzed. The patients were followed up for 3 months. Results One month in this group, 135 cases were cured (56.8%), 176 cases (73.9%) were cured in 2 months and 220 cases (92.4%) were cured in 3 months. Eighteen patients (7.6%) had no significant improvement in symptoms. Conclusion For children with PNDs who have chronic cough, they should actively and comprehensively treat postnasal drip and eliminate secondary cough effectively.