Etiological analysis and individualized treatment of pharyngeal paraesthesia
10.3969/j.issn.1001-1781.2009.14.006
- VernacularTitle:咽异感症病因学分析及个体化治疗
- Author:
Zhengcai LOU
;
Xuhong GONG
;
Fangyi LOU
;
Lanjuan HE
;
Qiaoying ZHU
- Publication Type:Journal Article
- Keywords:
paraesthesia pharyngis;
climacteric syndrome;
laryngopharyngeal reflux;
diagnosis;
therapy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2009;(14):639-641,645
- CountryChina
- Language:Chinese
-
Abstract:
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 pH monitoring, barium X-ray of the oesophagus, anxietas-athy-mia 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.
