隐匿性咽感觉异常综合征的认识与治疗  

Diagnosis and Treatment of Globus Pharyngeus

作　　者：楼正才[1] 吴小洪[1] 陈华英[1] 

机构地区：[1]义乌市中心医院耳鼻咽喉科,322000

出　　处：《医学研究杂志》2013年第2期177-179,155,共4页Journal of Medical Research

基　　金：2010年义乌市科技基金资助项目(2010-3-15)

摘　　要：目的认识隐匿性咽感觉异常综合征的病因及治疗。方法对96例排除耳鼻咽喉-头颈部器质性疾病的隐匿性咽感觉异常综合征患者随机分为两组,A组常规抗生素+清热解毒治疗,B组针对伴随症状的个性化治疗,两组治疗1个月评定疗效。结果 A组48例,失访2例,显效9例,无效37例,有效率19.57%;B组48例失访11例,痊愈21例、显效10例、无效6例、有效率83.78%。经统计学χ2检验,两组疗效差异明显(P<0.01)。结论临床上有时可依据隐匿性咽感觉异常患者的伴随症状、喉部体征、咽感觉异常的部位和性质初步推测其病因,同时针对伴随症状及病因的个性化治疗可显著提高其疗效。Objective The goal of this study was to evaluate the etiology and treatment of globus pharyngeus. Methods A total of 96 patients with globus pharyngeus were alternatively allocated into two groups： group A were treated by antibiotics plus clearing heat and removing toxicity; group 12 were treated by personalization scheme according to accompanying symptoms. The outcome was measured at the end of one month follow - up. Results Of the 48 patients in group A, 2 patients were lost to follow - up, 9 patients were effective, and 37 patients were invalid; Of the 48 patients in group B, 11 patients were lost to follow- up, 21 patients were healed completely, 10 patients were effective, and 6 patients were invalid. Group B had a significantly improved healing rate compared to group A （ P 〈 0.01 ）. Conclusion Our result suggested that the etiology of globus pharyngeus could be evaluated according to accompanying symptoms, laryngopharyngeal signs, and the position of globus pharyngeus. In addition, individualized treatment could improve significantly the treatment outcome.

关 键 词：咽感觉异常 病因 误诊 治疗 

分 类 号：R766.1[医药卫生—耳鼻咽喉科]