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--> 00:05.660\n大家好，\n\n00:05.960 --> 00:14.461\n今天我们来看一下从2024咳嗽基层指南更新来看CBA的规范化诊疗。\n\n00:16.697 --> 00:17.747\n先看一下目录。\n\n00:19.752 --> 00:22.851\n第一点是CV的流行病学和临床特征。\n\n00:24.281 --> 00:24.731\n怎么？\n\n00:25.836 --> 00:28.236\n咳嗽变异型哮喘啊，\n\n00:28.336 --> 00:30.711\n那么咳嗽分类的病因呢，\n\n00:30.711 --> 00:34.736\n包括一个急性咳嗽、亚急性咳嗽和慢性咳嗽。\n\n00:36.665 --> 00:37.790\n那么急性咳嗽的话呢，\n\n00:37.790 --> 00:38.764\n是小于三周，\n\n00:39.064 --> 00:40.340\n常见的病因呢，\n\n00:40.340 --> 00:41.615\n是一个普通感冒，\n\n00:41.865 --> 00:43.564\n急性气管支气管炎。\n\n00:44.582 --> 00:47.131\n那么3到八周是一个亚急性咳嗽，\n\n00:47.131 --> 00:49.332\n常见的有一个感冒后咳嗽。\n\n00:50.194 --> 00:50.618\n咳嗽，\n\n00:50.618 --> 00:51.543\n变异型哮喘，\n\n00:52.344 --> 00:56.993\n嗜酸粒细胞性支气管炎、上气道咳嗽综合症。\n\n00:57.819 --> 00:58.869\n大于八周的话，\n\n00:58.869 --> 01:00.169\n就是一个慢性咳嗽。\n\n01:00.470 --> 01:01.944\n常见的有一个咳嗽，\n\n01:01.944 --> 01:02.770\n变异性哮喘，\n\n01:03.220 --> 01:05.620\n嗜酸性粒细胞支气管炎，\n\n01:06.319 --> 01:07.919\n上气道咳嗽综合症，\n\n01:07.919 --> 01:10.669\n或者是鼻后滴流综合症，\n\n01:11.069 --> 01:12.919\n胃食管反流性咳嗽，\n\n01:13.019 --> 01:14.669\n还有一个变异性的咳嗽。\n\n01:17.486 --> 01:20.586\n我国慢性咳嗽患病率超了10%。\n\n01:21.236 --> 01:26.137\n咳嗽是呼吸专科门诊和社区门诊最最常见的一个症状，\n\n01:27.037 --> 01:28.537\n在社区人群中，\n\n01:28.887 --> 01:31.586\n慢性咳嗽患病率大约为10%。\n\n01:32.519 --> 01:34.919\n在国内呼吸专科门诊中，\n\n01:35.220 --> 01:38.870\n慢性咳嗽患者占了4%，\n\n01:38.870 --> 01:40.319\n占了1/3以上。\n\n01:44.121 --> 01:45.295\n那么CVA呢，\n\n01:45.295 --> 01:47.945\n是一个中国慢性咳嗽的一个首要的原因，\n\n01:47.945 --> 01:52.221\n那么就是今天说的一个咳嗽变异型哮喘。\n\n01:54.013 --> 01:58.363\n那么中国慢性咳嗽病因多中心研究显示，\n\n01:58.363 --> 02:00.888\n我国首次对一个慢性咳嗽病因，\n\n02:00.888 --> 02:05.664\n进行了一个前瞻性的多中心的一个临床流行病学调查，\n\n02:06.164 --> 02:08.613\n涉及了一个全国五大行政区，\n\n02:09.164 --> 02:11.813\n收集了一个合格病例763例。\n\n02:12.414 --> 02:13.514\n结果显示，\n\n02:13.714 --> 02:18.363\n中国慢性咳嗽首要的病因是咳嗽变异型哮喘。\n\n02:19.479 --> 02:21.080\n约占了33%。\n\n02:25.397 --> 02:29.996\n那么咳嗽变异型哮喘是亚急性咳嗽的第三大病因。\n\n02:31.158 --> 02:33.608\n那么除了一个感染后的咳嗽，\n\n02:33.958 --> 02:35.608\n咳嗽变异型哮喘，\n\n02:36.158 --> 02:38.908\n嗜酸性粒细胞性支气管炎。\n\n02:39.873 --> 02:44.524\n病因性咳嗽同样是一个亚急性咳嗽的主要的病因。\n\n02:50.208 --> 02:52.858\n对于一个咳嗽大于3周的患者，\n\n02:53.158 --> 02:57.108\n排除感染后咳嗽应考虑CBA的可能。\n\n02:57.861 --> 02:58.136\n那么，\n\n02:58.136 --> 03:00.811\n咳嗽变异性哮喘有哪些临床特征呢？\n\n03:03.005 --> 03:04.154\n首先是一个夜咳。\n\n03:04.955 --> 03:06.654\n最新的研究证明，\n\n03:06.854 --> 03:09.505\n只有在夜间咳嗽这个特征上，\n\n03:09.654 --> 03:13.455\n是CBA相较于其他咳嗽最明显的特征。\n\n03:14.871 --> 03:18.371\n咳嗽的属性可以从四个维度来分判，\n\n03:19.171 --> 03:20.621\n干咳、湿咳，\n\n03:21.320 --> 03:22.395\n夜间咳嗽，\n\n03:22.395 --> 03:23.371\n白天咳嗽。\n\n03:24.337 --> 03:25.287\n饮食相关，\n\n03:25.738 --> 03:27.888\n冷空气和异味相关。\n\n03:29.065 --> 03:31.666\n只有在夜间咳嗽这个特征上，\n\n03:32.016 --> 03:36.365\n是CBA相较于其他咳嗽最明显的一个特征。\n\n03:38.257 --> 03:38.656\n那么，\n\n03:38.707 --> 03:44.207\n约有3/4的CVA患者咳嗽是以夜间为主的。\n\n03:44.957 --> 03:46.557\n一项国内研究中，\n\n03:46.807 --> 03:53.856\n共纳入了91例大于等于18岁的门诊CBA患者，\n\n03:53.856 --> 03:59.757\n74.7%的CBA患者咳嗽时以夜间咳嗽或清晨为主。\n\n04:00.479 --> 04:03.580\n那么CVA的表现为刺激性干咳，\n\n04:03.979 --> 04:05.929\n通常咳嗽比较剧烈，\n\n04:06.330 --> 04:09.130\n夜间及凌晨咳嗽是重要的特征。\n\n04:10.162 --> 04:14.811\n夜间咳嗽为主的患者应首先考虑一个CBA的诊断。\n\n04:17.730 --> 04:20.980\n那么临床特征之二是一个过敏史，\n\n04:22.080 --> 04:23.281\n本人过敏史，\n\n04:23.531 --> 04:24.830\n家族过敏史，\n\n04:25.131 --> 04:32.131\n过敏原暴露是哮喘或者是CVA发病的危险因素，\n\n04:32.131 --> 04:36.131\n60%.70%的CVA患者存在一个特应质，\n\n04:36.480 --> 04:41.680\n就是一个变应原皮试阳性或者是血清IGE的升高。\n\n04:48.510 --> 04:50.209\n然后就是临床特征，\n\n04:50.209 --> 04:51.809\n第三个就是鼻炎。\n\n04:53.010 --> 04:53.484\n那么，\n\n04:53.484 --> 04:57.559\n咳嗽变异型哮喘常伴发一个过敏性的鼻炎。\n\n04:58.411 --> 05:03.761\n约88.9%的CBA患者合并了一个鼻炎的症状。\n\n05:06.997 --> 05:08.096\n那么看一下第二点，\n\n05:08.096 --> 05:11.296\n如何提升一个CVA诊断的一个水平。\n\n05:15.661 --> 05:19.312\n那么2024年发过一个中国基层。\n\n05:20.390 --> 05:22.190\n咳嗽诊疗和管理指南，\n\n05:22.839 --> 05:25.089\n它里面提到一个诊断标准，\n\n05:25.440 --> 05:26.790\n就是慢性咳嗽，\n\n05:27.190 --> 05:29.790\n夜间或凌晨刺激性干咳明显，\n\n05:30.190 --> 05:32.165\n支气管激发试验阳性，\n\n05:32.165 --> 05:33.739\n或者舒张试验阳性，\n\n05:34.239 --> 05:36.640\n或者是呼气分流量。\n\n05:37.580 --> 05:40.355\nPEF日平均变异率大于10%，\n\n05:40.855 --> 05:42.955\n还有就是抗哮喘治疗有效。\n\n05:43.955 --> 05:48.105\n如果没有条件进行肺通气功能与支气管激发试验的，\n\n05:48.256 --> 05:52.506\n以干咳与夜间咳嗽为特征的慢性咳嗽患者，\n\n05:52.906 --> 05:58.205\n如诱导痰嗜酸粒细胞水平增高或者fino水平增高，\n\n05:58.605 --> 06:02.756\n可以考虑CBA或者是嗜酸粒细胞性支气管炎。\n\n06:07.407 --> 06:09.356\n那么可变气流受限。\n\n06:11.078 --> 06:13.278\n检查指标存在一个局限性，\n\n06:13.477 --> 06:15.578\n导致一个CVA诊断的困难。\n\n06:16.528 --> 06:20.227\n首先支气管激发试验应注意一个不良反应，\n\n06:20.377 --> 06:22.678\n就是激发剂引起的一个副反应。\n\n06:23.328 --> 06:24.502\n有一个咳嗽，\n\n06:24.502 --> 06:25.778\n声嘶、咽痛，\n\n06:26.328 --> 06:29.028\n那么哮喘会导致一个哮喘急性发作。\n\n06:30.154 --> 06:31.279\n急性喉水肿，\n\n06:31.279 --> 06:33.529\n过敏性休克啊，\n\n06:33.529 --> 06:36.554\n就是支气管舒张试验会存在一个假阴性。\n\n06:37.524 --> 06:39.500\n轻度的气道缩窄，\n\n06:39.500 --> 06:40.924\n肺功能接近正常，\n\n06:41.674 --> 06:46.825\n还有就是重症哮喘患者有较多的一个分泌物堵塞气道，\n\n06:47.075 --> 06:50.225\n影响了一个药物在气道的沉积和作用。\n\n06:50.674 --> 06:52.825\n另外就是药物吸入方法不当，\n\n06:53.075 --> 06:54.049\n剂量不足，\n\n06:54.049 --> 06:54.875\n不敏感。\n\n06:55.848 --> 06:56.282\n另外，\n\n06:56.282 --> 06:59.574\nP、F检查依赖于受试者的正确操作，\n\n06:59.574 --> 07:08.098\nP、EF受正确操作体位、气道通畅性、肺内气体容量、呼吸肌肉力量等影响，\n\n07:08.348 --> 07:10.348\n需要自行连续数日检测。\n\n07:10.799 --> 07:12.898\n建议每天消毒咬口，\n\n07:13.098 --> 07:14.648\n每周冲洗消毒。\n\n07:20.559 --> 07:22.410\n那么CV的一个临床表现，\n\n07:23.059 --> 07:26.559\n那么在某些儿童和成人的哮喘患者中，\n\n07:26.959 --> 07:30.709\n咳嗽可能是唯一的一个或者是最突出的一个症状，\n\n07:31.260 --> 07:35.410\n其中咳嗽症状可在夜间或运动时加重，\n\n07:35.859 --> 07:38.410\n部分患者可伴有咳嗽。\n\n07:39.380 --> 07:41.679\nCBA患者的肺功能通常正常，\n\n07:42.029 --> 07:47.029\n仅能通过支气管激发试验发现存在可变的气流受限。\n\n07:47.845 --> 07:48.345\n此外，\n\n07:48.445 --> 07:52.845\n一些患者随着疾病进展可以出现喘息和气道高反应。\n\n07:54.027 --> 07:59.576\n大多数的CVA都有一个痰液嗜酸性粒细胞增多，\n\n07:59.927 --> 08:04.027\n也可能有一个呼出的那个一氧化氮fino的升高。\n\n08:10.143 --> 08:14.217\nCBA患者肺功能指标高于一个典型的哮喘患者，\n\n08:14.467 --> 08:15.268\n而且呢，\n\n08:15.268 --> 08:18.067\n它的舒张试验会存在一个假阴性。\n\n08:19.089 --> 08:20.065\n那么，\n\n08:20.065 --> 08:21.989\nA PAC研究发现，\n\n08:21.989 --> 08:28.890\nCBA患者的FEV one FVC和f e one比FVC等肺功能指标都几乎正常，\n\n08:29.390 --> 08:32.039\n显著高于一个典型的哮喘患者。\n\n08:33.216 --> 08:34.767\n中国咳嗽指南指出，\n\n08:35.067 --> 08:41.567\n有30%.40%的CVA患者对支气管舒张剂的一个治疗反应不佳。\n\n08:45.057 --> 08:45.456\n那么，\n\n08:45.706 --> 08:49.307\n当激发试验不可及或者不及时，\n\n08:49.406 --> 08:51.807\n如何在早期识别CBA？\n\n08:55.864 --> 08:56.064\n那么，\n\n08:56.064 --> 08:58.263\n病因诊断客观条件有限时，\n\n08:58.664 --> 09:01.463\n经验性治疗可以作为一个替代的措施。\n\n09:02.064 --> 09:02.588\n首先，\n\n09:02.588 --> 09:03.414\n病因诊断。\n\n09:03.814 --> 09:07.763\n病因诊断是慢性咳嗽诊治成功的基础，\n\n09:08.114 --> 09:12.164\n但基层医疗卫生机构或者经济条件有限的患者，\n\n09:12.414 --> 09:17.814\n往往无法进行一个特定检查明确还有一个经验性的治疗。\n\n09:18.599 --> 09:23.099\n慢性咳嗽的经验性治疗是指病因诊断不确定的情况下，\n\n09:23.400 --> 09:26.224\n根据患者临床特征和可能的诊断，\n\n09:26.224 --> 09:27.900\n给予相应的治疗措施，\n\n09:28.599 --> 09:32.000\n通过治疗反应来确立或排除诊断。\n\n09:33.515 --> 09:35.315\n当客观条件有限时，\n\n09:35.466 --> 09:38.565\n经验性治疗可以作为一种替代的措施。\n\n09:39.909 --> 09:41.760\n然后经验性治疗的原则。\n\n09:42.809 --> 09:45.010\n针对慢性咳嗽常见的原因。\n\n09:47.044 --> 09:47.294\n那么，\n\n09:47.294 --> 09:51.395\n针对慢性咳嗽常见的病因进行经验性治疗成功率比较大，\n\n09:51.695 --> 09:56.494\n有利于尽快解除患者痛苦和提高其对治疗的依从性。\n\n09:58.713 --> 10:01.612\n经验性治疗并非漫无目标的对症治疗，\n\n10:01.862 --> 10:04.013\n而是根据患者的临床特征，\n\n10:04.263 --> 10:07.963\n针对目前最可能的慢性咳嗽病因进行治疗。\n\n10:09.344 --> 10:16.344\n慢性咳嗽病史、咳嗽特点以及伴随症状等对提示病因有一定的价值。\n\n10:18.309 --> 10:21.559\n绝大多数的一个慢性咳嗽病因与感染无关，\n\n10:21.809 --> 10:23.510\n不需要抗感染治疗。\n\n10:24.109 --> 10:28.960\n少数伴有咳脓痰或者脓流涕的一个慢性咳嗽患者，\n\n10:29.309 --> 10:32.210\n需要考虑迁延性细菌感染，\n\n10:32.409 --> 10:34.309\n支气管炎或者是鼻窦炎，\n\n10:34.460 --> 10:36.510\n建议使用一个抗菌药物。\n\n10:38.693 --> 10:41.093\n经验性治疗有一定的盲目性，\n\n10:41.294 --> 10:46.593\n应注意排除支气管恶性肿瘤、结核和其他肺部疾病。\n\n10:47.335 --> 10:48.135\n常见病因，\n\n10:48.135 --> 10:49.885\n经验性治疗疗程，\n\n10:50.286 --> 10:53.286\n那么一般是在一到两周。\n\n10:53.585 --> 10:55.786\n如果胃食管反流是2到四周，\n\n10:56.085 --> 10:57.635\n经验性治疗无效者，\n\n10:57.635 --> 11:01.361\n应及时转到有条件的医院进行相关检查，\n\n11:01.361 --> 11:02.286\n明确病因。\n\n11:05.768 --> 11:06.393\n这个呢，\n\n11:06.393 --> 11:10.817\n是一个慢性咳嗽的经验性治疗的策略。\n\n11:13.960 --> 11:16.861\n第一个是临床线索导向策略。\n\n11:17.776 --> 11:19.825\n从临床使用的角度，\n\n11:19.926 --> 11:23.276\n可以根据病史和典型临床特点，\n\n11:23.476 --> 11:33.176\n将慢性咳嗽分为激素敏感的咳嗽、上气道咳嗽综合症、鼻后滴流综合症和胃食管反流性咳嗽进行管理，\n\n11:33.575 --> 11:36.226\n有利于减少经验性治疗的盲目性。\n\n11:36.676 --> 11:38.976\n其中考虑CVA诊断，\n\n11:38.976 --> 11:43.276\n患者可以使用糖皮质激素进行一个诊断性的治疗。\n\n11:44.000 --> 11:45.900\n常见病因导向策略，\n\n11:46.250 --> 11:50.150\n对于无任何潜在病因提示线索的慢性咳嗽患者，\n\n11:50.500 --> 11:56.650\n可以根据本地常见的慢性咳嗽病因的分布频率确定经验性治疗顺序。\n\n11:57.330 --> 12:00.530\n首先治疗最常见的慢性咳嗽病因，\n\n12:00.830 --> 12:04.780\n然后依次治疗次常见的病因，\n\n12:05.229 --> 12:06.929\n直至取得一个疗效。\n\n12:11.515 --> 12:16.914\n还有一个经验性的治疗三步疗法可以快速缓解咳嗽症状，\n\n12:17.114 --> 12:19.565\n总体获益率超过80%，\n\n12:20.664 --> 12:23.614\n那么研究纳入96例慢性咳嗽患者，\n\n12:23.914 --> 12:25.914\n根据临床特征，\n\n12:26.164 --> 12:28.965\n初步诊断为激素敏感性咳嗽。\n\n12:29.719 --> 12:36.619\n鼻后滴漏综合症以及胃食管反流性咳嗽进行3步经验性治疗，\n\n12:36.969 --> 12:39.369\n通过治疗有效进一步的确诊。\n\n12:40.590 --> 12:43.390\n那么经验性治疗后咳嗽总体的缓解率？\n\n12:44.176 --> 12:46.075\n分之81.2。\n\n12:47.757 --> 12:52.656\n那么经验性治疗后咳嗽缓解中位时间是145天。\n\n12:57.682 --> 13:00.632\n最后讲一下CBA的规范化的治疗。\n\n13:03.190 --> 13:03.289\n那么，\n\n13:03.289 --> 13:08.914\n2024中国咳嗽基层诊疗与管理指南指出，\n\n13:08.914 --> 13:11.289\nCVA治疗原则和典型的哮喘相同，\n\n13:11.640 --> 13:14.940\n推荐使用IACS加拉巴进行一个治疗。\n\n13:15.583 --> 13:20.383\n推荐使用一个吸入性糖皮质激素和支气管舒张剂的复方制剂，\n\n13:20.833 --> 13:25.083\n如布地奈德福、莫特罗、氟替卡松沙美特罗。\n\n13:25.484 --> 13:27.783\n建议治疗时间要8周以上，\n\n13:28.583 --> 13:30.508\n部分患者治疗反应不佳，\n\n13:30.508 --> 13:32.083\n需要更长期的治疗。\n\n13:35.060 --> 13:38.661\n接下来是一个CVA治疗药物的一个推荐级别。\n\n13:40.478 --> 13:43.877\n包括一个吸入性的ICS加拉巴，\n\n13:44.328 --> 13:46.427\n还有就是一个口服制剂，\n\n13:46.427 --> 13:48.677\n比如白三烯受体拮抗剂，\n\n13:49.177 --> 13:51.177\n另外还有一个中医中药，\n\n13:51.177 --> 13:53.377\n包括一个苏黄止咳胶囊。\n\n14:00.736 --> 14:02.336\n那么和LTRA比较，\n\n14:02.536 --> 14:05.086\n布地奈德的抗炎优势比较明显。\n\n14:06.073 --> 14:09.549\nICS多靶点可以阻断一个气道的炎症进展。\n\n14:17.091 --> 14:21.291\n而就是LTRA疗效不及I c s ICS，\n\n14:21.442 --> 14:23.392\n急性发作风险会更低。\n\n14:32.693 --> 14:33.244\n然后，\n\n14:33.294 --> 14:36.119\n中外指南均推荐ICS，\n\n14:36.119 --> 14:37.693\n就是吸入性糖皮质激素。\n\n14:37.693 --> 14:43.443\n福莫特罗为所有级别哮喘患者优选的控制和缓解的药物。\n\n14:52.021 --> 14:54.822\n规范吸入ICS治疗3个月以上，\n\n14:55.072 --> 14:59.372\n可以显著降低CBA进展为典型的哮喘患者的比例，\n\n14:59.572 --> 15:01.521\n可以达到26.3%。\n\n15:02.221 --> 15:03.721\n那么研究显示，\n\n15:04.021 --> 15:07.622\n与不规范吸入激素治疗12周以上相比，\n\n15:08.021 --> 15:14.271\n规范吸入激素12周以上的CV患者演变为哮喘的风险显著降低。\n\n15:18.067 --> 15:18.367\n那么，\n\n15:18.367 --> 15:21.793\n最后我们总结一下CVA呢，\n\n15:21.793 --> 15:24.418\n是慢性咳嗽的首要病因，\n\n15:24.668 --> 15:27.367\n也是亚急性咳嗽的第三大病因。\n\n15:28.239 --> 15:31.939\nCV典型的症状是夜咳、过敏史合并鼻炎。\n\n15:33.335 --> 15:35.559\nCBA患者的肺功能通常正常，\n\n15:35.960 --> 15:40.609\n仅能通过支气管激发试验发现存在可变的气流受限。\n\n15:41.159 --> 15:42.609\n当条件不足时，\n\n15:42.859 --> 15:46.059\n经验性治疗可以快速缓解咳嗽，\n\n15:46.309 --> 15:49.159\n并且明确诊断。\n\n15:49.159 --> 15:52.010\nCPA患者的治疗原则和典型哮喘相同，\n\n15:52.609 --> 15:57.460\n推荐使用吸入糖皮质激素和支气管舒张剂的复方制剂，\n\n15:57.760 --> 15:59.909\n如布地奈德福、莫特罗等。\n\n16:03.327 --> 16:05.377\n以上就是我今天讲的所有内容。\n\n","v0d47cg10004d621f9iljhtekd3e52o0",970,1,552,"2026-01-25 05:23:04","2026-04-13 22:00:00",[35],{"menuId":36,"menuName":37,"parentId":17,"orderNum":38,"path":39,"component":40,"isFrame":41,"isCache":42,"menuType":43,"visible":30,"status":17,"createDept":6,"remark":24,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":39,"componentInfo":40},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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