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以咽喉部异物感为主诉的鼻后滴流综合征65例临床分析 被引量:1

Clinical analysis of postnasal drip syndrome with foreign body sensation in pharynx and larynx
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摘要 目的探讨以咽喉部异物感为主诉的鼻后滴流综合征的临床特征。方法对65例以咽喉部异物感为主诉的鼻后滴流综合征的临床资料进行分析。结果 90.8%患者有鼻窦炎,仅一组鼻窦部病变占32.2%,67.8%的患者为2组以上鼻窦部病变,35.6%单侧鼻窦部异常,双侧鼻窦部异常占64.4%,57.6%的患者有鼻窦腔积液,鼻窦腔黏膜增厚占42.4%,20.3%的患者有鼻息肉,69.2%患者表现为频繁清喉或鼻吸后咯痰,有轻微咳嗽症状患者为26.2%,能咯出少许痰的患者仅占18.5%,有打喷嚏症状者占30.8%,16.9%患者有鼻塞症状,35.4%有流涕,27.7%为少许脓涕,6.2%有胸闷,9.2%有头痛,38.5%的患者有明确的鼻后滴流症状,36.9%的患者咽后壁有淋巴滤泡增生,32.3%有鹅卵石样改变,23.1%的患者咽部充血。96.9%的患者经鼻喷激素、口服复方盐酸伪麻黄碱及大环内酯类抗生素治疗有效。结论咽喉部异物感或咽喉部有痰为鼻后滴流综合征的特殊临床表现,多数是由鼻窦炎和过敏性鼻炎所致,在临床上容易引起误诊,提高对鼻后滴流综合征的认识和诊断,经规范治疗可以取得满意的疗效。 Objective To explore the clinical features of postnasal drip syndrome( PNDS) with foreign body sensation in pharynx and larynx. Methods The clinical data of 65 cases of postnasal drip syndrome with the chief complaint of foreign body sensation in pharynx and larynx were analyzed retrospectively. Results In all confirmed cases,90. 8% cases had sinusitis,32. 2% cases had only one sinus lesions,67. 8% cases had more than two sinus lesions,35. 6% cases had unilateral sinus anomalies,64. 4% cases had bilateral sinus anomalies,57. 6% cases had sinus effusion,42. 4% cases had sinus mucosal thickening,20. 3% cases had nasal polyp,69. 2% cases had frequent throat clearing or snorting expectoration,most patients could neither spit nor swallow sputum,26. 2% cases had mild cough,18. 5% cases could spit up a little sputum,30. 8% cases had sneeze,16. 9% cases had nasal congestion,35. 4% cases had runny nose,27. 7% cases had a little purulent nasal discharge,6. 2% cases had chest tightness,9. 2% cases had headache,38. 5% cases had postnasal drip,36. 9% cases had lymph follicle hyperplasia and 32. 3% cases had cobblestone like changes in the retropharyngeal, 23. 1% cases had pharyngeal hyperemia. 96. 9% cases were effective by nasal spray corticosteroids,oral compound pseudoephedrine hydrochloride and macrolide antibiotics treatment. Conclusion It is the atypical characteristic of postnasal drip syndrome that most of the patients are with foreign body sensation in pharynx and larynx or throat phlegm caused by sinusitis and allergic rhinitis,and may be misdiagnosed as other diseases. The reasonable therapy can achieve a satisfactory effect in the treatment of postnasal drip syndrome.
出处 《中华全科医学》 2014年第7期1073-1075,共3页 Chinese Journal of General Practice
关键词 鼻后滴流综合征 咽喉部异物感 诊断 Post nasal drip syndrome Foreign body sensation in pharynx and larynx Diagnosis
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