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--> 00:03.325\n哎，\n\n00:03.325 --> 00:07.926\n我们一起来学习下咳嗽变异性哮喘的临床特征与识别。\n\n00:17.913 --> 00:19.114\n我们主要从一个。\n\n00:21.676 --> 00:24.375\n咳嗽变性流行哮喘的流行病学。\n\n00:25.999 --> 00:29.149\n还有咳嗽变异性哮喘的发病机制和临床特征。\n\n00:30.118 --> 00:35.118\n第三块主要讲咳嗽变异性哮喘的早期诊断及咳嗽的评估管理。\n\n00:38.627 --> 00:38.952\n我们知道，\n\n00:38.952 --> 00:41.327\n咳嗽是呼吸专科的常见症状，\n\n00:41.978 --> 00:44.127\n占比是将近80%。\n\n00:46.327 --> 00:48.502\n在呼吸专咳嗽我们经常能看出一些症状，\n\n00:48.502 --> 00:50.652\n咳嗽、喘息、气促，\n\n00:50.652 --> 00:51.678\n胸闷，\n\n00:52.027 --> 00:52.678\n咽痛，\n\n00:52.678 --> 00:53.228\n卡痰，\n\n00:53.428 --> 00:54.127\n胸痛。\n\n00:56.250 --> 00:57.276\n还有咽痒，\n\n00:57.276 --> 00:57.851\n发热，\n\n00:57.851 --> 00:58.451\n咯血。\n\n00:59.283 --> 01:01.632\n当中咳嗽占到了76%。\n\n01:03.333 --> 01:05.758\n是咳嗽患者中慢性慢咳患者。\n\n01:05.758 --> 01:06.032\n他。\n\n01:07.044 --> 01:08.644\n占比只有56%。\n\n01:09.450 --> 01:10.151\n咳嗽时。\n\n01:17.745 --> 01:23.595\n那么CVA患者在我国慢性在我国慢性咳嗽患者中的占比也是比较高的，\n\n01:23.944 --> 01:26.044\n是慢克这个首要病因。\n\n01:26.848 --> 01:28.049\n那么在一个。\n\n01:29.361 --> 01:31.386\n2013年我国一个多中心的研究，\n\n01:31.386 --> 01:32.411\n我们可以看到。\n\n01:33.705 --> 01:34.629\nCBA的患者，\n\n01:34.930 --> 01:35.930\n他在这个。\n\n01:37.891 --> 01:40.991\n我国的慢性咳嗽患者中占比达到了32.6%。\n\n01:43.183 --> 01:43.583\n嗯，\n\n01:43.634 --> 01:50.384\n包括CBUACSEBAC在内的多种病因都可能导致慢性的咳嗽。\n\n01:52.234 --> 01:55.183\n一项前瞻性还有多中心的调查。\n\n01:55.683 --> 01:56.484\n在中国。\n\n01:57.871 --> 01:58.920\n八大城市。\n\n02:02.410 --> 02:03.360\n这九家医院。\n\n02:04.246 --> 02:07.545\n还有704例病例年龄大于15岁，\n\n02:08.195 --> 02:10.095\n咳嗽为唯一或主要症状，\n\n02:10.395 --> 02:12.746\n那么至少持续至少8周，\n\n02:13.195 --> 02:16.296\n从不吸烟或戒烟至少6个月。\n\n02:17.664 --> 02:21.214\n从无肺部疾病的影像学证据的当地居民。\n\n02:23.026 --> 02:26.175\n他正在探究我国慢性慢科患者的特点。\n\n02:27.511 --> 02:33.561\n那么这个研究它显示了CVA是我国慢性慢克患者的主要病因，\n\n02:33.960 --> 02:37.561\n也占慢克人群的32.6%。\n\n02:41.725 --> 02:44.826\n对基层我们那我们看一下基层医院这个占比情况。\n\n02:46.585 --> 02:48.235\n社区慢性咳嗽的常见病因，\n\n02:48.235 --> 02:48.610\n我们。\n\n02:49.671 --> 02:49.972\n嗯，\n\n02:50.022 --> 02:51.972\n主要有CPUACS。\n\n02:55.227 --> 02:56.802\nGRC感染后咳嗽，\n\n02:56.802 --> 02:57.901\n还有心源性咳嗽，\n\n02:57.901 --> 02:59.126\nEB以及其他类型。\n\n03:00.356 --> 03:04.755\n那么在这样针对社区慢性咳嗽的回顾性分析是纳入了。\n\n03:05.744 --> 03:08.244\n2013年4月到2015年4月。\n\n03:09.972 --> 03:17.171\n180例社区就诊的慢性病、慢性咳嗽患者通过问诊以及各项检查。\n\n03:20.960 --> 03:23.210\n查明患者、慢性患者的咳嗽病因，\n\n03:23.360 --> 03:28.210\n计算引起社区就诊患者慢性咳嗽病因所占的比例。\n\n03:28.410 --> 03:30.509\n那么这个结果显示了。\n\n03:31.304 --> 03:33.505\n在慢患者平均年龄是。\n\n03:35.326 --> 03:35.901\n39.4加。\n\n03:37.229 --> 03:38.003\n±3.7岁，\n\n03:38.003 --> 03:41.804\n那么平均咳嗽的时间是一百零七±8周。\n\n03:45.625 --> 03:45.750\n嗯，\n\n03:45.750 --> 03:49.800\n这个当中我们看到慢性变异性哮喘，\n\n03:49.800 --> 03:52.324\n它导致的慢性咳嗽占比是最大的，\n\n03:52.324 --> 03:53.875\n达到了37.8%。\n\n04:03.397 --> 04:09.447\n那么我们看看那个亚洲的这个CACVA患者在慢性咳嗽中的比例。\n\n04:11.223 --> 04:14.123\n在中国的一项前瞻性的多中心的调查，\n\n04:14.423 --> 04:19.973\n纳入了我国88个城市704例14岁以上的咳嗽为主要症状的。\n\n04:22.002 --> 04:23.877\n持续了8周的当地患者，\n\n04:23.877 --> 04:25.502\n他进行了肺功能的检测，\n\n04:25.553 --> 04:26.453\n结果显示。\n\n04:27.467 --> 04:29.393\n在中国，\n\n04:29.393 --> 04:32.868\nCVA在慢性咳嗽病因过程达到了。\n\n04:34.440 --> 04:34.890\n32.6，\n\n04:34.989 --> 04:36.489\n那么再看日本的情况，\n\n04:36.739 --> 04:38.565\n日本的成人哮喘指南，\n\n04:38.565 --> 04:41.790\n它指出了在日本病咳嗽，\n\n04:41.790 --> 04:44.390\n变异性哮喘是慢性咳嗽的首位病因。\n\n04:45.511 --> 04:46.761\n得有36%。\n\n04:48.286 --> 04:49.786\n那么在韩国看来，\n\n04:49.886 --> 04:52.411\n一项韩国多中心的回顾性研究，\n\n04:52.411 --> 04:57.286\n纳入了全国427例咳嗽8周以上的成人患者，\n\n04:57.286 --> 04:58.861\n根据指南诊断它。\n\n04:58.861 --> 04:59.736\n结果也显示，\n\n04:59.937 --> 05:01.236\n在韩国这个。\n\n05:02.428 --> 05:03.778\n咳嗽变异性哮喘，\n\n05:03.778 --> 05:05.678\n它是慢性咳嗽的第二大病因，\n\n05:05.678 --> 05:07.378\n它占比有46.8%。\n\n05:09.462 --> 05:09.611\n嗯，\n\n05:09.611 --> 05:10.236\n在欧盟，\n\n05:10.236 --> 05:15.261\n我们看看将纳入18项多国慢性咳嗽研究的汇总显示。\n\n05:16.281 --> 05:18.330\n在欧美，\n\n05:18.330 --> 05:21.131\nCV占慢性咳嗽病因过程是。\n\n05:22.464 --> 05:25.415\n从十四到二十九个百分点都是比较高的。\n\n05:33.337 --> 05:33.462\n嗯，\n\n05:33.462 --> 05:34.536\n接下来我们看一下。\n\n05:35.617 --> 05:38.617\n咳嗽变异性哮喘的发病机制和临床特征？\n\n05:44.497 --> 05:44.696\nCV,\n\n05:44.696 --> 05:47.571\n它的气道炎症本质和典型的哮喘是相同的，\n\n05:47.872 --> 05:50.821\n它在气道上皮受到刺激以后，\n\n05:51.421 --> 05:52.897\n细胞因子释放，\n\n05:52.897 --> 05:54.272\n诱导输突细胞。\n\n05:55.359 --> 05:55.760\n上单。\n\n05:57.821 --> 05:59.821\nOC 40配体的表达，\n\n05:59.920 --> 06:06.571\n它促进它以促进其促进其动员到局部引流淋巴结。\n\n06:07.619 --> 06:09.420\n像初始的CD四T细胞。\n\n06:10.834 --> 06:13.334\n激活为白介素四的功能。\n\n06:13.433 --> 06:14.433\n功能状态。\n\n06:16.464 --> 06:18.364\n那么人家淋巴结中的。\n\n06:20.557 --> 06:21.006\n反正四。\n\n06:26.917 --> 06:29.118\n淋巴结中的排排结时感受。\n\n06:31.492 --> 06:33.467\n感受到T细胞迁移到B细胞中。\n\n06:33.467 --> 06:34.291\nB细胞去。\n\n06:35.191 --> 06:39.791\n分化成T滤细滤泡辅助细胞并进入循环，\n\n06:40.342 --> 06:41.941\n称之为T辅助2。\n\n06:43.868 --> 06:44.268\n七八。\n\n06:47.026 --> 06:50.325\n滤泡旁壁细胞区域中的分泌的白金丝的。\n\n06:52.683 --> 06:54.459\nTB滤泡辅助细胞。\n\n06:56.372 --> 06:59.321\n介导B细胞中的IGE转IGE类转换。\n\n07:00.134 --> 07:04.158\n迁移到气道上皮和上皮下粘膜的。\n\n07:05.723 --> 07:10.123\nT辅助二细胞分泌白介素五白介素13接到。\n\n07:11.670 --> 07:13.869\n气管粘膜的炎症和重塑变化。\n\n07:19.885 --> 07:20.084\n嗯，\n\n07:20.084 --> 07:21.184\n和典型的。\n\n07:24.191 --> 07:25.992\n哮喘相比他是一位患者。\n\n07:26.492 --> 07:27.541\n我们看一下他的。\n\n07:28.967 --> 07:29.268\n是。\n\n07:31.334 --> 07:34.783\n它也存在着痰的EEOS的水平显著升高。\n\n07:36.070 --> 07:37.045\n这项前瞻性研究，\n\n07:37.045 --> 07:41.019\n它纳入了2018年12月到2014年4月，\n\n07:41.320 --> 07:43.670\n到广州医科大学第一附属医院，\n\n07:43.769 --> 07:48.769\n附属第一人第一医院就诊的慢性咳嗽患者244例，\n\n07:48.769 --> 07:52.769\n和健康对健康对照受试者59例。\n\n07:53.070 --> 07:55.920\n对患者进行病史采集和体格检查，\n\n07:56.320 --> 07:59.170\n胸部X线肺活量支气管激发实验。\n\n07:59.718 --> 08:03.269\n诱导痰和一氧化氮的测量。\n\n08:06.071 --> 08:08.071\nCYAEB和AC归列为。\n\n08:09.273 --> 08:12.122\n加RC啊，\n\n08:12.122 --> 08:12.923\nUACSGERC和其他。\n\n08:13.842 --> 08:15.942\n被归类为NCRC，\n\n08:15.942 --> 08:18.243\n它只在单探讨，\n\n08:18.542 --> 08:25.518\n单独检测一氧化碳和联合痰液嗜酸性粒细胞的特异性检查，\n\n08:25.518 --> 08:28.643\n是否有助于诊断激素敏感性的咳嗽。\n\n08:30.527 --> 08:32.252\n这个我们可以看到，\n\n08:32.252 --> 08:41.077\nCBA组和EB组痰液的嗜酸粒细胞百分比均显著高于ICUACSGERC啊。\n\n08:41.077 --> 08:43.177\n其他和健康对照。\n\n08:46.833 --> 08:47.033\n嗯。\n\n08:48.226 --> 08:52.651\n三种嗜酸性粒细胞增多性疾病的特征。\n\n08:52.651 --> 08:53.375\nEB它是。\n\n08:55.870 --> 08:56.020\nEB,\n\n08:56.020 --> 08:58.020\n它表现为咳嗽，\n\n08:58.070 --> 08:59.796\n那么CVA表现为一个咳嗽，\n\n08:59.796 --> 09:01.421\n还有一个气道的高反应性。\n\n09:03.056 --> 09:03.356\nC,\n\n09:03.406 --> 09:05.080\n它一个是咳嗽，\n\n09:05.080 --> 09:06.181\n气道高反应，\n\n09:06.181 --> 09:07.306\n还有一个喘息。\n\n09:11.987 --> 09:12.588\n我们看一下，\n\n09:12.838 --> 09:14.638\n嗯，\n\n09:14.638 --> 09:15.888\nCV患者的。\n\n09:17.083 --> 09:19.234\nT、H2细胞因子情况。\n\n09:21.012 --> 09:21.161\n嗯，\n\n09:21.161 --> 09:24.611\n这项研究它是纳入了门诊出诊的慢性咳嗽。\n\n09:25.732 --> 09:26.083\n患者，\n\n09:26.083 --> 09:27.132\n132例，\n\n09:27.283 --> 09:32.882\n根据他症状分为CVA组和典型的哮喘组与非CV麦克组，\n\n09:33.132 --> 09:35.232\n就像CV根组。\n\n09:35.232 --> 09:39.083\n根据第一秒用力呼吸溶解。\n\n09:39.841 --> 09:41.565\n而较基线下降百分之三十十，\n\n09:41.565 --> 09:48.291\n累积吸气吸入激发剂的剂量分为不同气道反应性亚组。\n\n09:48.991 --> 09:51.940\n探讨咳嗽变异性哮喘患者通。\n\n09:53.447 --> 09:57.546\n肺通气功能的特点和及气道反应性的关系。\n\n10:01.174 --> 10:01.849\n通过这个研究，\n\n10:01.849 --> 10:06.924\n我们可以发现C1组和CVA组的T、H2型细胞因子。\n\n10:08.216 --> 10:10.033\n白介素4、白介素五十，\n\n10:10.033 --> 10:14.317\n38和白介素25显著高于慢性咳嗽阻。\n\n10:15.629 --> 10:19.528\nC、a组的T、H二细胞因子是高于CVA组的。\n\n10:20.388 --> 10:24.237\nC组和CVA组的THE细胞因子。\n\n10:26.409 --> 10:29.710\nFNYFINY是显著低于慢性。\n\n10:30.762 --> 10:31.211\n我时煮。\n\n10:32.161 --> 10:35.111\n那C组的T、H一细胞因子还是低于C组。\n\n10:36.668 --> 10:37.768\nCC为A做的。\n\n10:41.484 --> 10:42.333\n并且他们都是有。\n\n10:44.273 --> 10:45.273\n显著的差异性。\n\n10:51.296 --> 10:51.495\n嗯，\n\n10:51.546 --> 10:52.745\n这些研究它是。\n\n10:54.606 --> 10:55.080\n这项研究，\n\n10:55.080 --> 10:57.955\n它是值得研究和分析咳嗽，\n\n10:57.955 --> 11:03.080\n变异性哮喘与细胞与体液免疫指标的临床差异性。\n\n11:03.080 --> 11:05.056\n它纳入73名CBA患儿，\n\n11:05.556 --> 11:09.505\n分为发作组、发作期组和缓解期组。\n\n11:10.184 --> 11:14.385\n同时选择30名体检结果正常的作为正常对照。\n\n11:15.445 --> 11:20.244\n比较三组血清的TNFHSCRCRP。\n\n11:21.844 --> 11:28.594\n白介素4、白介5、263的水平差异1T、淋巴细胞亚群的CD3、CD 4、CD 8。\n\n11:30.101 --> 11:30.526\n嗯，\n\n11:30.526 --> 11:32.651\nCD4和8的比例以及IGAIGC。\n\n11:34.276 --> 11:35.125\nIGMIGE.\n\n11:36.544 --> 11:37.893\nIGG亚兴等T。\n\n11:39.500 --> 11:40.599\n免疫指标的差异。\n\n11:43.812 --> 11:44.036\n哎，\n\n11:44.036 --> 11:46.336\n通过这个就我们可以发现，\n\n11:46.336 --> 11:51.361\nCVA患者他的CD4与CD4和CD8的比例是显著升高的。\n\n11:52.465 --> 11:53.614\n还有就是CV患者，\n\n11:53.614 --> 11:57.515\n他体液免疫细胞它也是显著增加的。\n\n12:01.518 --> 12:03.369\n那我们可以看一下外周和中枢。\n\n12:05.281 --> 12:08.231\n对C位患者的咳嗽敏感性的作用。\n\n12:09.231 --> 12:09.931\n那外周机制，\n\n12:09.931 --> 12:10.281\n嗯，\n\n12:10.481 --> 12:13.281\n机械性刺激激活了迷走神经。\n\n12:14.278 --> 12:14.578\nAQ.\n\n12:15.835 --> 12:21.635\n的纤维化学物质和炎症介质激活迷走神经的C纤维神经，\n\n12:22.484 --> 12:25.385\n这些介质可以引起气管收缩。\n\n12:25.385 --> 12:30.835\n通过激活慢适应受体激活咳嗽相关的迷走神经纤维。\n\n12:31.385 --> 12:37.484\n嗜酸性粒细胞和肥大细胞可能直接与迷走咳嗽纤维相互作用，\n\n12:37.484 --> 12:39.335\n增加神经纤维密度。\n\n12:39.585 --> 12:42.434\n我直接向神经纤维释放神经。\n\n12:43.309 --> 12:44.059\n火星戒指。\n\n12:45.896 --> 12:46.796\n这是外周机制。\n\n12:47.684 --> 12:47.859\n嗯，\n\n12:47.859 --> 12:49.284\n中枢机制我们可以看到，\n\n12:49.284 --> 12:55.284\n它是一个迷走神经纤维投射到脑干核团协调咳嗽的运动模式。\n\n12:55.284 --> 12:57.684\n在大脑的高级皮层和皮层下去，\n\n12:58.234 --> 13:00.934\n神经网络参与咳嗽的行为调节。\n\n13:01.669 --> 13:05.318\n咳嗽冲动产生一些认知和情感反应的处理，\n\n13:05.669 --> 13:09.468\n这些神经网络自下、自上而下调节脑干的功能，\n\n13:09.869 --> 13:12.369\n产生自主性咳嗽和反射性咳嗽。\n\n13:13.268 --> 13:16.968\n这些中枢性咳嗽神经通路可被敏化，\n\n13:16.968 --> 13:19.669\n导致咳嗽的高敏感性。\n\n13:24.564 --> 13:25.463\n还有这个CV。\n\n13:27.372 --> 13:27.971\nCBA患者，\n\n13:27.971 --> 13:31.596\n他的咳嗽敏感性属于高于典型的哮喘，\n\n13:31.596 --> 13:35.247\n那么这个研究它是一个多中心前身性的调查，\n\n13:35.247 --> 13:36.846\n纳入全国二十家诊所的。\n\n13:38.645 --> 13:39.846\n2088名患者，\n\n13:40.195 --> 13:42.695\n其中CVA患者有二三百七十二人，\n\n13:42.695 --> 13:44.421\n327人，\n\n13:44.421 --> 13:45.145\nCPA患者有1，\n\n13:45.145 --> 13:45.346\n1，\n\n13:45.346 --> 13:46.195\n041人，\n\n13:46.195 --> 13:46.346\nC,\n\n13:46.346 --> 13:47.546\na患者720人，\n\n13:47.745 --> 13:49.796\n它主要记录咳嗽和喘息的。\n\n13:51.036 --> 13:52.435\n视觉模拟量表。\n\n13:53.422 --> 13:53.622\n嗯，\n\n13:54.372 --> 13:56.672\n莱斯特咳嗽问卷和咳嗽。\n\n13:57.778 --> 14:04.228\n把哮喘控制测试分数测量和比较比较了呼出的一氧化碳。\n\n14:05.327 --> 14:05.702\n分数，\n\n14:05.702 --> 14:10.177\n还有诱导癌细胞技术和辣椒素的。\n\n14:37.197 --> 14:41.396\n诱导痰细胞技术和辣椒素咳嗽激发，\n\n14:41.396 --> 14:44.747\n这在比较咳嗽的优势型哮喘，\n\n14:44.796 --> 14:48.997\n咳嗽变性哮喘和典型哮喘的临床和病理生理特征。\n\n14:50.356 --> 14:51.231\n那么他这个结果，\n\n14:51.231 --> 14:56.231\n我们看到共有264人完成了辣椒素咳嗽激发实验，\n\n14:56.231 --> 14:58.056\n其中包括84名CV，\n\n14:58.056 --> 15:00.205\n120名CPA和60名CA患者。\n\n15:01.224 --> 15:01.775\n嗯，\n\n15:01.775 --> 15:03.075\nCV和CP的患者。\n\n15:05.210 --> 15:06.486\nC5是相log，\n\n15:06.486 --> 15:07.460\nC5是相似的，\n\n15:07.460 --> 15:08.835\n但是低于C的患者。\n\n15:09.698 --> 15:13.799\n那么这也证实了CVA患者咳嗽敏感性是高于C、a的。\n\n15:20.171 --> 15:20.372\n嗯，\n\n15:20.372 --> 15:22.346\n还有一个a PAC的研究，\n\n15:22.346 --> 15:25.546\n我们可以看到在中国的一项进行了a PAC的研究。\n\n15:25.546 --> 15:28.771\n它实际上多中心前瞻性观察性队列研究，\n\n15:29.072 --> 15:32.221\n共有9省17家研究中心门诊共同参与，\n\n15:32.671 --> 15:35.997\n纳入新陈的变异咳嗽变异性哮喘，\n\n15:35.997 --> 15:38.771\n轻度轻中度的典型哮喘成人患者，\n\n15:38.921 --> 15:41.072\n这是研究咳嗽变异性哮喘的临床。\n\n15:42.562 --> 15:44.911\n病理生理学特征、预后和机制。\n\n15:45.833 --> 15:46.658\n这个结果我们可以看到，\n\n15:46.658 --> 15:47.758\n与C相比，\n\n15:47.758 --> 15:53.434\nCVA患者出现咽痒、咽喉以下瘙痒和异咽部异物感的患者比例更高。\n\n15:54.296 --> 15:59.046\n那么更多的CACV患者出现咽喉感觉异常。\n\n16:01.661 --> 16:08.510\n包括咽喉发痒、咽喉下方发痒、咽喉咽部异物感和频繁清口。\n\n16:09.460 --> 16:18.460\n那么C、a和CVA在流涕、流涕、鼻后滴流、打喷嚏、鼻塞、嗅觉减退、反酸、烧心、嗳气等方面，\n\n16:18.861 --> 16:20.861\n它也是没有统计学意义。\n\n16:21.953 --> 16:23.604\n还有一方面就是异常的咽部。\n\n16:25.476 --> 16:28.726\n咽喉部感觉可能是咳嗽过敏性的特征。\n\n16:35.932 --> 16:36.132\n嗯。\n\n16:43.322 --> 16:43.848\n嗯，\n\n16:43.848 --> 16:45.822\nAPC研究他也可以证实了，\n\n16:46.172 --> 16:46.848\n嗯，\n\n16:46.848 --> 16:48.372\nCV的咳嗽比C值。\n\n16:50.181 --> 16:50.880\n最严重的。\n\n16:53.806 --> 16:54.481\n并且C，\n\n16:54.481 --> 16:55.830\na的A，\n\n16:55.830 --> 16:57.806\nCACT评分明显是低于CV的。\n\n16:58.747 --> 16:59.547\n嗯，\n\n16:59.547 --> 17:00.898\nICU的反应。\n\n17:01.703 --> 17:04.052\n反映的咳嗽、特异性生活质量。\n\n17:05.593 --> 17:07.093\n在CV中较低。\n\n17:07.243 --> 17:10.343\n而SAS和SDC的评分。\n\n17:11.135 --> 17:13.586\n分别反映的一般焦虑和忧郁。\n\n17:15.645 --> 17:18.745\n在C、B和AC中是相似的。\n\n17:21.291 --> 17:23.791\n现在我们看一个在CV支气管。\n\n17:24.687 --> 17:26.687\n激发实验反应和。\n\n17:28.324 --> 17:28.974\n反映情况。\n\n17:30.854 --> 17:31.055\n嗯。\n\n17:32.962 --> 17:34.062\n这个CV组合，\n\n17:34.062 --> 17:35.511\n我们这个实验可以表明，\n\n17:35.511 --> 17:40.511\n在CV组合典型的哮喘组的气到激发实验的各指标比较。\n\n17:44.223 --> 17:46.748\n它这个比较集中方面看来是没有显著性的，\n\n17:46.748 --> 17:48.623\n没有统计性的意义啊。\n\n17:49.516 --> 17:53.766\n那就说明了CV支气管激发实验反应性和典型的哮喘它是相似。\n\n17:58.265 --> 17:58.590\n嗯，\n\n17:58.590 --> 17:59.291\n还有IPAC，\n\n17:59.291 --> 18:00.265\n它有一个子研究，\n\n18:00.566 --> 18:03.365\n它是基于临床特征对C位患者进行了分型。\n\n18:03.715 --> 18:06.265\n它这个研究是全国多中心。\n\n18:08.178 --> 18:11.678\n中国非典型哮喘队列研究的一个部分，\n\n18:11.828 --> 18:17.279\n在了解中国咳嗽变异性哮喘治疗或者临床气道炎症和肺功能变化，\n\n18:17.279 --> 18:21.678\n以期为咳咳嗽变异性哮喘评估进行治疗提供依据。\n\n18:22.129 --> 18:27.428\n研究纳入了342例初诊咳嗽变异性哮喘进行抗哮喘治疗，\n\n18:27.428 --> 18:29.578\n并随访了36个6个月。\n\n18:31.150 --> 18:36.050\n在各期随访评估咳嗽症状、肺功能以及气道免疫变化。\n\n18:36.901 --> 18:41.350\n以留取生物标本进行组学检测以及。\n\n18:43.172 --> 18:44.623\n发掘潜在的机制。\n\n","v0247cg10004d76bo7iljht4u8q55jig",1128,541,"2026-01-26 12:52:48","咳嗽变性流行哮喘的流行病学。咳嗽变异性哮喘的发病机制和临床特征","我国的慢性咳嗽患者中占比达到了32.6%","2026-06-11 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