咽异感症病因学分析及个体化治疗  

Etiological analysis and individualized treatment of pharyngeal paraesthesia

作　　者：楼正才[1] 龚旭红[2] 楼放毅[3] 何兰娟 朱巧英[1] 

机构地区：[1]义乌市中心医院耳鼻咽喉科,浙江义乌322000 [2]义乌市中心医院消化科 [3]义乌市中心医院神经-精神内科 [4]义乌市中医医院妇产科

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第14期639-641,645,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析咽异感症的病因并研究其治疗方法。方法:对212例多次被误诊的咽异感症患者通过详细询问病史、临床常规检查、胃食管24hpH值测定、食管吞钡X线拍片、抑郁焦虑自评量表、心电图R-R间期变动系数检查、男性生物有效性睾酮检查、直立试验及男子更年期综合征10个问题问卷调查等,同时对伴随症状、咽异感部位进行分析总结,明确病因,并针对病因进行个体化综合治疗。结果:212例咽异感症病因分别为精神因素62例、内分泌功能紊乱32例、上消化道疾病106例、循环系统等疾病9例、不明原因3例。212例患者经各种治疗,痊愈110例,显效63例,有效31例,有效率96.23%。结论:咽异感症可由多种因素引起,常规久治不愈的咽异感症患者应仔细检查,综合分析。短疗程及不合理用药等是咽异感症患者疗效不佳和短期复发的主要原因。Objective：To analyze the nosazontology of pharyngeal paraesthesia and investigate the treatment. Method：Two hundred and twelve misdiagnosed pharyngeal paraesthesia patients were investigated by history inquiry, routine examination, 24--hour esophageal p H monitoring, barium X--ray of the oesophagus, anxietas-athymia private measuring scale, coefficient of variation of the R-R（CVR-R）, bioavailable testosterone detection（Bio- T） ,erection experiment and questionnaire about man climacteric syndrome. The concomitant symptoms and positions of pharyngeal paresthesia were also studied. We adopted individuallied sequential multi-therapy for every patient according to the cause of disease. Result： The cause of disease within 212 cases of pharyngeal paraesthesia included 62 psychictrauma, 32 endocrine system disease, 106 upper gastrointestinol disease, circulatory disease, 9 circulatory disease,3 idiopathic. With individualized treatment,110 cases had fully recovered, 63 cases excellence and 31 cases utility,and the efficiency rate was 96.23%. Conclusion.. Pharyngeal paraesthesia can be caused by several factors. Thorough examination and comprehensive analysis should be applied to those incurable patient who has been treated for a long time. Short course of treatment and irrational drug use are the main causes of short term recurrence and unsatisfactory curative effect.

关 键 词：咽异感症 更年期综合征 喉咽反流 诊断 治疗 

分 类 号：R766.5[医药卫生—耳鼻咽喉科]