不同年龄段成人咽喉反流性疾病临床特征和心理特征比较  

Comparison of clinical and psychological characteristics in adult patients with laryngopharyngealreflux disease in different age groups

作　　者：孙晓飞[1] 刘斌[1] 刘诗敏[1] 郑文雯[1] 查志鸿 胡国勤[1] SUN Xiaofei;LIU Bin;LIU Shimin;ZHENG Wenwen;ZHA Zhihong;HU Guoqin(Department of Otolaryngology Head and Neck Surgery,the Second People's Hospital of Hefei,Hefei Hospital Affiliated to Anhui Medical University,Hefei,Anhui,230000,China)

机构地区：[1]合肥市第二人民医院(安徽医科大学附属合肥医院)耳鼻咽喉头颈外科,安徽合肥230000

出　　处：《中国耳鼻咽喉头颈外科》2023年第7期448-451,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的 分析不同年龄段咽喉反流性疾病(LPRD)的临床特征及心理特征之间的差异。方法 收集2019年1月~2022年6月门诊就诊的200例LPRD患者,分为青年组(n=58)、中年组(n=115)和老年组(n=27)。调查患者的症状、不良生活方式以及危险因素,并评估患者的焦虑和抑郁状态。比较分析不同年龄组患者症状谱的分布、症状和体征的总体评分、危险因素和心理状况。结果 青年组患者反流症状指数评分(RSI)均值低于中年组(P<0.05)和老年组患者(P>0.05),反流体征评分(RFS)均值差异无统计学意义(P>0.05)。三组患者中,症状3(痰过多或鼻涕倒流)、症状4(吞咽食物、水或药片不利)、症状7(烦人的咳嗽)和症状9(烧心、胸痛、胃痛)的发生率之间差异有统计学意义(P均<0.05)。在三餐饮食不规律、饮酒、进食过饱、进餐后30 min内卧躺、晚餐时间19∶00以后、喜浓茶、喜碳酸饮料、喜高脂饮食、喜辛辣饮食及睡眠质量差的比例,三组患者之间的发生率差异有统计学意义(P均<0.05)。青年组、中年组和老年组焦虑自评量表(self-rating anxiety scale,SAS)评分分别为48.62±6.48、54.98±9.34、59.14±9.07,抑郁自评量表(self-rating depression scale,SDS)评分分别为49.44±7.35、53.83±6.44、57.99±8.07,差异均有统计学意义(P均<0.05)。结论 中老年LPRD患者症状较青年患者更为显著,更多的青年患者拥有不良生活方式及饮食习惯,而中老年患者更具有抑郁和焦虑倾向。应针对不同年龄段LPRD患者需采取不同的危险因素调整方式、药物治疗以及心理疏导措施。OBJECTIVE To study and analyze the differences of clinical and psychological characteristics in adult patients with laryngopharyngealreflux disease(LPRD) in different age groups.METHODS A total of 200 LPRD outpatients from January 2019 to June 2022 were collected and divided into youth group(n=58),middle-aged group(n=115) and elderly group(n=27).The symptoms,unhealthy lifestyle and risk factors of the patients were investigated,and their status of anxiety and depression were evaluated.The distribution of symptom spectrum,the overall score of symptoms and signs,risk factors and psychological status of patients in different age groups were compared and analyzed.RESULTS The mean reflux symptom score(RSI) of young patients was lower than that of middle-aged and elderly patients(P 0.05).Among the three groups,there were statistically significant differences in the incidence of symptom 3(excess throat mucous or postnasal drip),symptom 4(difficulty swallowing food,liquids or pills),7(annoying cough) and 9(heartburn,chest pain,stomach pain)(P0.05).The proportions of irregular meals,drinking,overeating,lying down within 30 minutes after eating,after 19:00 dinner time,liking strong tea,liking carbonated drinks,liking high-fat diet,liking spicy diet and poor sleep quality in the three groups was statistically significant(P0.05).The SAS scores of the young group,the middle-aged group and the elderly group were 48.62±6.48,54.98±9.34,59.14±9.07,and the SDS scores were 49.44±7.35,53.83±6.44,57.99±8.07,respectively.The SAS and SDS scores of the three groups were significantly different(P0.05).CONCLUSION The symptoms of middle-aged and elderly patients are more significant than those of young patients;More young patients have bad lifestyles and eating habits;The middle-aged and elderly patients are more prone to depression and anxiety;Different risk factors adjustment methods,medications and psychological counseling measures should be taken for patients of different ages.

关 键 词：年龄分布 体征和症状 焦虑 抑郁 咽喉反流性疾病 心理特征 

分 类 号：R766.5[医药卫生—耳鼻咽喉科]