慢性咽炎的个体化治疗及临床意义

Individualized treatment of chronic pharyngitis and its clinical significance

目的:分析慢性咽炎的病因,探讨不同病因所致的慢性咽炎个体化治疗的疗效及其临床意义。方法:选取2016-10-2017-12期间就诊的168例慢性咽炎患者为研究对象,分成实验组(128例)和对照组(40例),对2组患者进行问卷调查评分。实验组根据临床表现及病因分成A组(鼻源性慢性咽炎),32例;B组(咽喉反流相关慢性咽炎),36例;C组(OSAHS相关慢性咽炎),30例;D组(变态反应因素相关的慢性咽炎),30例。分别进行个体化治疗,对照组给予清热利咽等对症治疗,对比实验组和对照组疗效的差异。结果:治疗前各组症状总积分差异无统计学意义(P>0.05)。治疗后2组症状总积分均降低(P<0.05),且实验组各组降低幅度明显高于对照组(P<0.05),实验组各组治疗总有效率及显效率均明显高于对照组(P<0.05)。结论:慢性咽炎个体化治疗的疗效优于传统治疗,在临床治疗中具有重要指导意义。

Objective：Analysis of the etiology of chronic pharyngitis.Study on the individualized therapeutic effect of chronic pharyngitis caused by different causes and its clinical significance.Method：One hundred and sixtyeight cases of chronic pharyngitis in our department from October 2016 to December 2017.It was divided into the experimental group and the control group,2 groups of patients were evaluated by questionnaire.According to clinical manifestations and etiologies,the experimental group was divided into chronic naso pharyngitis,32 cases,pharyngology and reflux related chronic pharyngitis,36 cases,OSAHS related chronic pharyngitis,30 cases,and allergic chronic pharyngitis,30 cases.Individualized treatment in each group,40 cases in control group were given symptomatic treatment.The effect of two groups was compared.Result：There was no significant difference in the total score of the groups before the treatment（P〉0.05）.After treatment,the total score of the 2 groups was reduced（P〈0.05）.The reduction of the experimental groups were significantly higher than that of the control group（P〈0.05）.The total effective rate and effective rate of the experimental groups were significantly higher than that of the control group（P〈0.05）.Conclusion：The individualized treatment of chronic pharyngitis is better than the traditional treatment of chronic pharyngitis.It has important guiding significance in clinical treatment.