咳嗽,咽喉頭異常感症例における咽頭スメア検査

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  • Pharyngeal Smear Examination for Cough and/or Pharyngeal Discomfort
  • ガイソウ インコウトウ イジョウカン ショウレイ ニ オケル イントウ スメア ケンサ

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The pharyngeal smears of 83 patients with cough and/or pharyngeal discomfort were examined. They were classified into three groups (eosinophilic, neutrophilic, and non-inflammatory) according to the cellular infiltration.<BR>The eosinophilic group consisted of 17 patients (20.5%), the neutrophilic group consisted of 41patients (49.4%), and the non-inflammatory group consisted of 25 patients (30.1%).<BR>We administered Azelastine (2 mg/day) and Suplatast tosilate (300 mg/day) to the patients in the eosinophilic group, Clarithromycin (400 mg/day) and L-carbocystein (1000 mg/day) to the neutrophilic group patients, and Tofisopam (150 mg/day) to the non-inflammatory group for 1-2 weeks.<BR>Of the 83 patients,19 dropped out of the study. Among the remaining 64 patients the medication was slightly effective or better in 75.0% of the eosinophilic patients,75.9% of the neutrophilic patients, and 68.4% of the non-inflammatory patients.<BR>In conclusion, the results indicate that pharyngeal smear examination, may be effective for patients with cough and/or pharyngeal discomfort.

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