Etiological analysis and individualized treatment of pharyngeal paraesthesia.
- Author:
Zhengcai LOU
1
;
Xuhong GONG
;
Fangyi LOU
;
Lanjuan HE
;
Qiaoying ZHU
Author Information
1. Department of Otolaryngology, Center Hospital of Yiwu, Yiwu 322000, China. louzhengcai@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
Paresthesia;
diagnosis;
etiology;
therapy;
Pharyngeal Diseases;
diagnosis;
etiology;
therapy;
Pharynx;
pathology;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2009;23(14):639-645
- 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, anxieties-athymic 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 individuallized 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 psychic trauma, 32 endocrine system disease, 106 upper gastrointestinal 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.