饶婷婷 冯毅

    【摘 要】 咳嗽作为机体正常的防御反射，起到保护呼吸道、清除异物的作用。咳嗽日久不愈进展为慢性咳嗽，慢性咳嗽病因复杂，冯毅主任医师临床见该类患者，认为此类患者多因风邪致病，运用虫类药缓解气道挛急，配合止咳化痰等药物，可达到良好疗效。

    【关键词】 慢性咳嗽;病因病机;临证经验

    【中图分类号】R249.2/.7 【文献标志码】 A 【文章编号】1007-8517(2021)08-0078-03

    Abstract：As the body's normal defense reflex， Cough plays a role in protecting the respiratory tract and removing foreign bodies.The Cough does not heal for a long time and progresses to Chronic Cough.The cause of Chronic Cough is complicated.Feng Yi believes that patients with Chronic Cough are mostly caused by wind pathogens.Insect drugs are used to relieve airway contracture and cooperate with cough and phlegm.And other drugs can achieve good results.

    Key words：Chronic Cough;Etiology and pathogenesis;Experience

    咳嗽是呼吸科門诊最常见的就诊症状，反复咳嗽8周未愈，胸部X线检查无明显异常者被定义为慢性咳嗽[1]。据统计[2]，慢性咳嗽的患者占国内呼吸专科门诊的1/3，常见病因包括咳嗽变异性哮喘、上气道咳嗽综合征、嗜酸性粒细胞性支气管炎、胃食管反流性支气管炎和变应性咳嗽等。慢性咳嗽的治疗以病因治疗为主，但仍有部分患者发病机制不明确，即使采取经验性治疗方法，仍然持续咳嗽，甚至产生一定耐药性，影响患者身心健康，产生社会经济负担 ......