广州地区呼吸专科门诊咳嗽症状分布调查

发布时间：2018-09-13 15:05

【摘要】：目的了解广州地区呼吸专科门诊中咳嗽症状的分布特点。方法采用统一的调查量表,2013年7月至8月对广州呼吸疾病研究所门诊患者进行面访式问卷调查,记录呼吸系统症状表现,有咳嗽患者记录咳嗽临床特征。结果共收集问卷939份,其中900份有效。患者平均年龄为(48.9±18.3)岁,男453例(50.3%),女447例(49.7%)。具有咳嗽、喘息、气促、胸闷、咽痛、卡他、胸痛、咽痒、发热、咯血和其他症状者分别占总就诊人数76.3%、34.49%、34.1%、19.2%、11.99%、11.2%、9.1%、6.6%、4.0%、1.1%和14.3%。存在咳嗽症状的患者中,69.5%以咳嗽为主诊原因,22.1%以咳嗽为唯一症状。咳嗽中位病程为3个月,其中29.7%的患者为急性咳嗽(3周),亚急性咳嗽(3~8周)为14.0%,慢性咳嗽(8周)占56.3%。女性咳嗽患者多于男性(51.7%比48.3%,P0.05),尤以急性咳嗽明显(60.3%比39.7%,P0.01),但亚急性和慢性咳嗽性别分布未见显著差异(均P0.05)。结论咳嗽是呼吸专科门诊中最常见的就诊原因,尤以慢性咳嗽为著。急性咳嗽患者女性较男性多见。
[Abstract]:Objective to investigate the distribution of cough symptoms in respiratory outpatient clinic in Guangzhou area. Methods from July to August 2013, an interview questionnaire was conducted among outpatients of Guangzhou Institute of Respiratory Diseases. The symptoms of respiratory system were recorded, and the clinical characteristics of cough were recorded. Results 939 questionnaires were collected, of which 900 were valid. The average age of the patients was (48.9 卤18.3) years, 453 males (50.3%) and 447 females (49.7%). The patients with cough, wheeze, shortness of breath, chest tightness, pharynx, katta, chest pain, itching of pharynx, fever, hemoptysis and other symptoms accounted for 76.3% and 34.49% of the total number of patients, respectively. The patients with cough, wheeze, shortness of breath, chest tightness, pain of throat, dysphagia, fever, hemoptysis and other symptoms accounted for 34.21% and 14.33%, respectively. Among the patients with cough symptoms, 69.5% had cough as the main reason and 22.1% had cough as the only symptom. The median course of cough was 3 months. 29. 7% of the patients had acute cough (3 weeks), subacute cough (3 weeks) was 14.0, chronic cough (8 weeks) accounted for 56.3%. Female cough patients were more than males (51.7% vs 48.3% P0.05), especially acute cough (60.3% vs 39.7P0.01), but there was no significant difference between subacute cough and chronic cough (P0.05). Conclusion cough is the most common reason in respiratory clinic, especially chronic cough. Women with acute cough are more common than men.
【作者单位】：广州呼吸疾病研究所呼吸疾病国家重点实验室广州医科大学附属第一医院;
【基金】：广东省科技计划项目(20138021800304)
【分类号】：R56

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