咽部异常感觉患者的伴随症状、病因及治疗分析

摘要

目的 探讨咽部异常感觉患者的伴随症状、病因及治疗方法.方法 调查2010年1月-2012年1月我院收治的261例排除耳鼻咽喉科疾病的咽部异常感觉患者的伴随症状,并依据伴随症状分别采用抗抑郁焦虑、质子泵抑制剂、增强免疫力等诊断性治疗,观察3个月的疗效及病因.结果 261例患者中,心因性42例、自主神经功能紊乱19例、更年期综合征31例、胃食管反流136例、疲劳综合征33例.经治疗,痊愈168例(64.4%),显效74例(28.4%),无效19例(7.2%),有效率为92.7%.结论 咽部异常感觉是全身疾病的局部表现,根据病因不同,伴随症状亦不相同,其中胃食管反流是其主要病因.%Objective To investigate the concomitant symptoms of paraesthesia pharynges ( PP ) and its etiology and treatments. Methods A total of 261 PP patients admitted to this hospital from January 2010 to January 2012 were given, based on concomitant symptoms, diagnostic treatments using anti - depression, proton pump inhibitors, immunity enhancement, etc. The efficacy was observed for 3 months. Results Forty - two patients had psychogenic concomitant symptom, 19 had vegetative nerve functional disturbance, 31 had menopausal syndrome, 136 had gastroesophageal reflux, 33 had fatigue syndrome. After treatment, 168 patients were cured ( 64. 4% ), 74 had remarkable effects ( 28. 4% ), 19 had not effect ( 7. 2% ), the effective rate was 92. 7% . Conclusion PP is a local manifestation of systemic disease and its concomitant symptoms are not the same due to different pathogens. Gastroesophageal reflux is its main cause.