摘要
目的分析咽部异物感的常见病因伴随症状及治疗。方法对2002年4月～2006年2月219例咽异感患者通过详细询问病史临床常规检查、胃食管24hpH值测定、食管钡透照影,抑郁焦虑自评量表、直立试验、心电图R-R间期变动系数(coefficient of variation of the R-R,CVR-R)检查、男子更年期综合征10个问卷调查等,明确病因,并针对病因进行个体化综合治疗。结果219例患者痊愈169例,有效29例,有效率90.41%;无效21例,无效率9.59%。其中①精神因素83例,治愈67例(67/83,80.72%),有效7例(7/83,8.43%),总有效率89.16%;②更年期综合征42例,治愈31例(31/42,73.81%),有效10例(10/42,23.81%),总有效率97.62%;③自主神经功能紊乱11例,治愈9例(9/11,81.82%),有效2例(2/11,18.18%),总有效率100.00%;④胃食管反流19例,治愈15例(15/19,78.95%),有效2例(2/19,10.53%),总有效率89.47%;⑤咽喉反流64例,治愈47例(47/64,73.44%),有效8例(8/64,12.50%),总有效率85.94%。219例中伴月经紊乱94例,睡眠障碍73例,多梦29例,乏力32例,心慌71例,胸闷11例,伴胃灼痛、反酸、胃部不适等消化道症状63例。咽异感部位恒定,位于颈中线胸骨上窝或胸骨后73例;部位游走不定91例。结论咽部异物感的伴随症状及部位与咽异感的病因有明显相关性,临床仔细询问咽部异物感的伴随症状及部位对初步诊断咽部异物感的病因和治疗具有十分重要的指导意义。
Objective Analysis the concomitance symptom and region of refractoriness paraesthesia pharynges. Methods Investigated 219 misdiagnosed pharyngeal paraesthesia patients with their history, routine examination, 24 hours pH value determined of esophagus, esophago - barium visualization, anxietas - athymia private measuring scale, erectexperiment, coefficient of variation of the R - R （ CVR-R ） and man climacteric syndrome 10 questionnaire, according to the cause of disease we adopted Sequence therapy and individualized combined treatment for every patient. Results In the cases of 219 , 169 were cured ,29 were effective , with total effective rate of 90.41%. 21 （ 9.59% ） cases were not cured . Eighty three （37.90 % ） of them with the type of a mental scar had a 89.16% （74/83）. Among 42 （ 19.18 % ） cases of climacteric syndrome and menstrual disordertype , 41 cases were cured with a 97.62 % effective rate. Eleven（5.02 % ） cases of the type of functionaldisturbance of independence nerve were whole cured. Ninteen （8.68 % ） of them with the type of reflux esophagitis had 89.47 % （17） effective rate. Sixty four （29.22%） cases of the type of Laryngopharyngeal reflux had 85.94% （55） effective rate. There were 94 menstrual disorder,73 sleep disorders,29 dreaminess,32 hypodynamia,71 heart disorders, 11 chest distress,63 digestive tract symptom with heartburn.stomac discomfort etc. 73 were breastbone of midline cervix and position permanent ;91 were not constant and migrationed. Conclusions There were obvious relation between the following symptom and the spot ofparaesthesia pharynges and their causa morbi , To clinical diagnosis the causa morbi of paraesthesia pharynges and treatment have the extremely important guiding sense for carefull inquirying the following symptom and spot of paraesthesia pharynges.
出处
《医学研究杂志》
2007年第12期83-85,共3页
Journal of Medical Research
关键词
咽部异物感
症状
诊断
治疗
Paraesthesia pharynges
Symptom
Diagnosis
Therapy
