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<div id="3t044zi" class="y_ju"></div> <div id="yteoxp9" class="con_article con_main" id="contentText"> <p> 　　治療<a href='http://lpo831.com/news/ertong/' target='_blank'><u>兒童</u></a>慢性<a href='http://lpo831.com/yangsheng/kesou/' target='_blank'><u>咳嗽</u></a>，找準病因，對癥下藥，規(guī)范治療，才能達到比較好的治療效果。那么，致使兒童慢性咳嗽的原因都有哪些呢?接下來學習啦小編為大家解答吧。</p><p> 　　孩子咳嗽反復不愈，最讓家長揪心，更讓家長擔心的是，發(fā)展成兒童慢性咳嗽。兒童慢性咳嗽，咳嗽通常是其唯一或主要的癥狀，病程一般大于4周，胸片檢查往往沒有明顯異常。這類咳嗽看似簡單，但病因復雜。因此，治療兒童慢性咳嗽，找準病因，對癥下藥，規(guī)范治療，才能達到比較好的治療效果。兒童慢性咳嗽的病因主要有以下幾種：</p><p> 　　首先是咳嗽變異性<a href='http://lpo831.com/yangsheng/xiaochuan/' target='_blank'><u>哮喘</u></a>。這是最為常見的病因，這類咳嗽患兒通常不喘，只是咳，而且以干咳為主，有的可能會吐白泡痰，常在夜間和凌晨發(fā)作，或只在凌晨發(fā)作，通常會在運動后咳嗽加重。這種咳嗽的臨床特征一般還有過敏性<a href='http://lpo831.com/yangsheng/biyan/' target='_blank'><u>鼻炎</u></a>或<a href='http://lpo831.com/yangsheng/shizhen/' target='_blank'><u>濕疹</u></a>。有條件的患者最好進行肺功能等檢查，以進一步確診。</p><p> 　　其次是上氣道咳嗽綜合征。比如，各種鼻炎、<a href='http://lpo831.com/yangsheng/bidouyan/' target='_blank'><u>鼻竇炎</u></a>、扁桃體和(或)腺樣體肥大等上氣道<a href='http://lpo831.com/yangsheng/jibingdaquan/' target='_blank'><u>疾病</u></a>，都可能引起慢性咳嗽。這種咳嗽的特征是早上咳嗽，部分可以咳痰，痰出則其余時間少咳或不咳，伴有<a href='http://lpo831.com/yangsheng/bisai/' target='_blank'><u>鼻塞</u></a>、流涕、咽干并有異物感和反復清咽等癥狀。此外，患兒的咽后壁有時可能會出現(xiàn)鵝卵石樣的改變，或者會有黏液樣或膿性分泌物附著。</p><p> 　　第三是胃食管反流。也可能導致兒童慢性咳嗽。這種咳嗽往往是在餐后加重，年幼的孩子通常會在吐后咳嗽停止;年長的孩子往往會說<a href='http://lpo831.com/yangsheng/futong/' target='_blank'><u>腹痛</u></a>、噯氣，如果用手觸按上腹部時，孩子有壓痛。</p><p> 　　第四是過敏性咳嗽，這也是常見病因之一。這種咳嗽表現(xiàn)為刺激性干咳，通常是在某種環(huán)境下，或進食某種食物，或接觸某種氣味時咳嗽發(fā)作，如果離開這種環(huán)境、食物或氣味，咳嗽會減輕或不咳。最常見的可能會是屋塵螨、粉塵滿、牛奶、蛋清以及家居<a href='http://lpo831.com/shenghuo/zhuangxiu/' target='_blank'><u>裝修</u></a>氣味等。過敏性咳嗽患兒需要進行過敏源檢查。</p><p> 　　第五是心因性咳嗽。部分年長的患兒咳嗽緣于這種病因。這種咳嗽通常表現(xiàn)為日間咳嗽，睡后不咳;玩得開心時不咳，上課或做作業(yè)時咳，或緊張時咳嗽。心因性咳嗽需要進行心理干預和治療。</p><p> 　　第六是非典型病原體。部分慢性咳嗽患兒與此有關(guān)。其中最為常見的就是<a href='http://lpo831.com/yangsheng/feiyan/' target='_blank'><u>肺炎</u></a>支原體或衣原體感染。如果明確，針對治療，咳嗽通常比較容易治療。</p><p> 　　兒童慢性咳嗽治療</p><p> 　　(1) 藥物治療</p><p> 　?、?祛痰藥物：慢性咳嗽如伴有痰，應(yīng)以祛痰為原則，不能單純止咳，以免加重或?qū)е職獾雷枞?，可以選用N-乙酚半胱氨酸、鹽酸氨澳索、愈創(chuàng)木酚甘油醚、桃金娘油和<a href='http://lpo831.com/yangsheng/fangji/' target='_blank'><u>中藥</u></a>祛痰劑等。</p><p> 　?、?抗組胺藥物：如氯苯那敏、氯雷他定、西替利嗦等。</p><p> 　?、劭咕幬铮好鞔_為細菌或肺炎支原體、衣原體病原感染的慢性咳嗽者可考慮使用抗菌藥物。肺炎支原體或衣原體感染者可選擇大環(huán)內(nèi)醋類抗生素，包括紅霉素、阿奇霉素、克拉霉素等。其他病原菌感染在初始<a href='http://lpo831.com/fanwen/jingyan/' target='_blank'><u>經(jīng)驗</u></a>治療后，如需調(diào)整抗生素，應(yīng)按藥敏試驗結(jié)果選用。</p><p> 　?、?平喘抗炎藥物：包括糖皮質(zhì)激素、β2受體激動劑、M受體阻斷劑、白三烯受體拮抗劑、茶堿等藥物。主要用于CVA、EB、過敏性鼻炎等的針對性治療。糖皮質(zhì)激素治療2-4周后要再評估。感染后咳嗽一般可自行緩解，對癥狀嚴重者可考慮短期使用吸入或口服糖皮質(zhì)激素、白三烯受體拮抗劑或M受體阻斷劑。</p><p> 　?、?<a href='http://lpo831.com/yangsheng/xiaohuanake/' target='_blank'><u>消化</u></a>系統(tǒng)藥物：主張使用H受體拮抗劑如西咪替丁和促胃動力藥如多潘立酮等。</p><p> 　?、?鎮(zhèn)咳藥物：慢性咳嗽尤其在未明確病因前不主張使用鎮(zhèn)咳藥，且該類藥物的使用與一些疾病的發(fā)病率和死亡率有關(guān)，美國<a href='http://lpo831.com/yangsheng/erke/' target='_blank'><u>兒科</u></a>學會警示，可待因禁用于治療各種類型的咳嗽。非那根的鎮(zhèn)靜作用有可能誤導家長，應(yīng)用該藥減少孩子的吵鬧而忽視了該藥的不良反應(yīng)，包括煩躁、幻覺、肌張力異常，甚至<a href='http://lpo831.com/yangsheng/huxinake/' target='_blank'><u>呼吸</u></a>暫停、嬰兒猝死。不良反應(yīng)在嬰兒中表現(xiàn)明顯，致WHO提出警告：非那根禁用于2歲以下兒童，禁止作為鎮(zhèn)咳藥物。</p><p> 　　(2)非藥物治療</p><p> 　　注意去除或避免誘發(fā)、加重咳嗽的因素。避免接觸過敏原、受涼、煙霧的環(huán)境;對鼻竇炎可進行鼻腔灌洗、選用減充血藥;體位變化，改變食物性狀，少量多餐等對GERC有效;對氣道異物者則應(yīng)及時取出異物;藥物誘發(fā)性咳嗽最好的<a href='http://lpo831.com/fangfa/zhiliao/' target='_blank'><u>治療方法</u></a>是停藥;對心因性咳嗽則可給予心理療法;及時接種<a href='http://lpo831.com/yangsheng/yimiaojiezhong/' target='_blank'><u>疫苗</u></a>，預防呼吸道<a href='http://lpo831.com/yangsheng/chuanranke/' target='_blank'><u>傳染</u></a>病和呼吸道感染。</p><p> 　　小編推薦兩款湯治療<a href='http://lpo831.com/yangsheng/xiaoerkesou/' target='_blank'><u>小兒咳嗽</u></a></p><p> 　　梨汁燉冬菇治咳嗽</p><p> 　　梨能潤肺涼心、消痰<a href='http://lpo831.com/yangsheng/jianghuo/' target='_blank'><u>降火</u></a>，冬菇內(nèi)的雙鏈糖核酸在人體內(nèi)產(chǎn)生的干擾素能消滅體內(nèi)的病毒。用“梨汁燉冬菇”的<a href='http://lpo831.com/yangsheng/ysshiliao/' target='_blank'><u>食療</u></a>法防治秋冬的燥咳，消除感染，一般服用兩三天即見收效。</p><p> 　　方法如下：先將4個鴨梨去皮切片榨成汁，把冬菇200克洗凈切片，加適量水和冰糖同燉，等冬菇燉熟后，早晚分兩次連湯同食，即可。</p><p> 　　煮蘿卜水可治咳</p><p> 　　一連數(shù)日咳嗽不止，晚上難以入睡，可買幾根白蘿卜，每晚把半截蘿卜切成片，用清水煮，蘿卜、熟后用茶杯或小碗將水濾出，待稍冷后喝下?？人员憧蓽p少。連續(xù)喝幾天，咳嗽就可痊愈。</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 猜你喜歡：</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 1.<a _href="http://lpo831.com/yuanyin/1661751.html" href="http://lpo831.com/yuanyin/1661751.html" target="_blank">引起咳嗽的原因</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 2.<a _href="http://lpo831.com/yuanyin/3323467.html" href="http://lpo831.com/yuanyin/3323467.html" target="_blank">寶寶長期咳嗽什么原因</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 3.<a _href="http://lpo831.com/yuanyin/576706.html" href="http://lpo831.com/yuanyin/576706.html" target="_blank">寶寶老咳嗽什么原因</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 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class="download_card_msg">治療兒童慢性咳嗽，找準病因，對癥下藥，規(guī)范治療，才能達到比較好的治療效果。那么，致使兒童慢性咳嗽的原因都有哪些呢?接下來學習啦小編為大家解答吧。孩子咳嗽反復不愈，最讓家長揪心，更讓家長擔心的是，發(fā)展成兒童慢性咳嗽。兒童慢性咳嗽，咳嗽通常是</div> </div> <div id="sx5wjyp" class="download_card_btn download_card_btn_lb"> <div id="e4ibb39" class="content_box_tj"> <span>推薦度：</span> <img src="http://lhpay.gzcl999.com/static/doc/images/pc/icon_star.png" alt=""> <img src="http://lhpay.gzcl999.com/static/doc/images/pc/icon_star.png" alt=""> <img src="http://lhpay.gzcl999.com/static/doc/images/pc/icon_star.png" alt=""> <img src="http://lhpay.gzcl999.com/static/doc/images/pc/icon_star.png" alt=""> <img src="http://lhpay.gzcl999.com/static/doc/images/pc/icon_star.png" alt=""> </div> <div id="95d0rbb" class="downlod_btn_right demo_tc downlod_btn_right_lb"> <em class="downlod_icon"></em>點擊下載文檔<span>文檔為doc格式</span></div> </div> </div> </a>  <div id="wajwpyr" class="con_prev clear louti"> <p class="fl chao f16">上一篇：<a 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