Analysis of Etiological Composition and Clinical Characteristics of Chronic Cough in Children in Plateau Area
Objective:To analyze the etiological composition and clinical characteristics of chronic cough in children in plateau area.Method:A total of 262 children with chronic cough admitted to Qinghai Province Women and Children's Hospital from January 2020 to December 2022 were selected as the observation group,and 50 children with respiratory tract infection during the same period in the hospital were selected as the control group.The clinical data of the control group and the observation group were compared,and the etiological composition of chronic cough in children with different age,gender,season,cough nature and cough phase in the observation group were compared.Result:Among the 262 children,60 cases(22.90%)of cough variant asthma(CVA),55 cases(20.99%)of upper airway cough syndrome(UACS),77 cases(29.39%)of post-infection cough(PIC),27 cases(10.31%)of allergic cough(AC),24 cases(9.16%)of gastroesophageal reflux cough(GERC),6 cases(2.29%)of psychogenic cough(PC),13 cases(4.96%)of Tourette syndrome(TS).Group A mainly consisted of UACS,PIC and CVA,group B mainly consisted of PIC,UACS and CVA,group C mainly consisted of CVA,GERC and PIC.There were significant differences in etiology among the three groups(P>0.05).Among the 262 children,138(52.67%)were boys and 124(47.33%)were girls.There were no significant differences in etiology between the two groups(P>0.05).Among the 262 children,63 cases(24.05%)were found in spring,55 cases(20.99%)in summer,43 cases(16.41%)in autumn,and 101 cases(38.55%)in winter.UACS and PIC were predominant in spring,CVA and UACS were predominant in summer,PIC was predominant in autumn,CVA,UACS and PIC were predominant in winter.Among 262 cases,135 cases(51.53%)of dry cough,127 cases(48.47%)of wet cough,UACS was predominant in dry cough,PIC and CVA were predominant in wet cough.Among 262 children,CVA was predominant in morning cough,PIC was predominant in day cough,CVA and UACS were were predominant in night cough.Conclusion:The causes of chronic cough in children are complex,the top three causes of chronic cough in children in plateau areas are CVA,UACS and PIC in turn,and the causes of chronic cough are different in different age,season,cough nature and cough phase.
Plateau areaChronic cough in childrenEtiologyClinical characteristics