山东大学耳鼻喉眼学报

• 论文 • 上一篇    下一篇

高压喷雾联合激光治疗对肥厚性咽炎致咽异感症患者生活质量的影响

刘继荣,李大佑,李冬梅   

  1. 山东省济南市第三人民医院耳鼻咽喉科, 济南 250101
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
  • 通讯作者: 刘继荣

High-pressure spraying and laser on the quality of life in patients with abnormal sensation of the throat induced by hypertrophic pharyngitis

LIU Ji-rong, LI Da-you, LI Dong-mei   

  1. Department of Otolaryngology, Jinan Third People′s Hospital, Jinan 250101, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
  • Contact: LIU Ji-rong

摘要: 目的观察高压喷雾联合激光治疗对肥厚性咽炎所致咽异感症患者生活质量的影响。方法进行随机、平行对照研究,应用生活质量医学成果研究简表36项健康调查(MOS SF-36)问卷中文版进行调查。慢性肥厚性咽炎所致咽异感症患者87例随机分为治疗组47例和对照组40例,治疗组应用Nd:YAG激光烧灼炭化咽后壁增生病变的淋巴滤泡,之后应用低能量HeNe激光局部照射理疗,同时对咽部进行高压喷雾治疗;对照组常规应用柑桔冰梅片及复方草珊瑚含片治疗。随访6个月。于治疗前、治疗后第3周和第6周采用SF-36生活质量问卷分别进行生活质量评价,评价内容包括36个项目,主要包括患者自己对功能状态、幸福和健康的评价。结果治疗前两组患者症状记分、生活质量记分差异无统计学意义;治疗3周和6周后与对照组比较,治疗组症状明显改善,生活质量明显提高(P均<0.05)。结论高压喷雾联合激光治疗能有效改善肥厚性咽炎所致咽异感症患者的咽部症状,同时明显提高患者的生活质量。

关键词: 高压喷雾, 激光, 咽异感症, 肥厚性咽炎, 治疗结果, 生活质量

Abstract: To explore the effects of high-pressure spraying and laser on the quality of life(QOL) in patients with abnormal sensation of the throat induced by chronic hypertrophic pharyngitis. MethodsA randomized and controlled study was carried on 87 patients with abnormal sensation of the throat induced by chronic hypertrophic pharyngitis. QOL was determined by using the Medical Outcome Study Short-Form Health Survey (SF-36) questionnaires (Chinese version). 87 patients were randomly divided into the experimental group and the control group. 47 patients in the experimental group were treated with high-pressure spraying, Nd:YAG laser and HeNe laser. 40 patients in the control group were routinely treated with GanJuBingMei tablets and CaoShanHu tablets. The SF-36 questionnaires were administered at the start of treatment and 3 and 6 weeks after the treatment. They were followed up for 3 months. ResultsAfter the runinperiod(baseline), there were no significant differences between the two groups in terms of symptoms or QOL scores. After 3 and 6 weeks, the response rates in the experimental group were 93.6% and 95.7%, which were significantly higher than those (57.5% and 67.5%) in the control group(both P<0.005, χ2 test). Also the QOL improved more significantly in the experimental group than in the control group (P<0.05, t-test). ConclusionsHigh-pressure spraying, Nd:YAG laser and HeNe laser can not only relieve the symptoms but also improve the QOL in patients with abnormal sensation of the throat induced by chronic hypertrophic pharyngitis.

Key words: Laser, Abnormal sensation of throat, High-pressure spraying, hypertrophic pharyngitis, Treatment outcome, Quality of life

中图分类号: 

  • R766.14
[1] 沈勤峰,沈小燕,朱荣强,蒋斐斐,郎军添. 鼻内镜下中鼻甲功能性部分切除治疗慢性鼻窦炎76例分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 82-85.
[2] 吴喜福, 孔维封, 王玮豪, 徐惠清, 戚敏, 杨钦泰. QoR-15在加速康复外科改善慢性鼻-鼻窦炎伴鼻息肉围手术期生活质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 5-8.
[3] 宋森,李莹,丁欣,金玉梅. 飞秒激光小切口基质透镜取出术后早期视力恢复的相关因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 77-79.
[4] 王钟颖,王珮华. 上颌骨Le Fort I型截骨手术后鼻腔通气质量调查[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 26-27.
[5] 郝艳,李栋才,蓝建平. CO2激光显微手术与传统显微手术切除声带息肉疗效比较[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 68-70.
[6] 马钊恩, 翟锦明, 廖礼兵, 杨震. 咽鼓管球囊扩张术治疗慢性分泌性中耳炎的短期疗效观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 54-56.
[7] 张杰,陈雪梅,许安廷. 超声刀扁桃体切除术与低温等离子扁桃体切除术的对比研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 95-100.
[8] 徐静静,郭海科. 有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 18-20.
[9] 张晓莉,于泓,韩冬梅,杨瑞民,戚伟. 泪道激光联合引流管植入治疗泪道阻塞的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 84-86.
[10] 刘洁,施陈燕,张治军. 糠酸莫米松鼻喷剂联合玉屏风颗粒可提高儿童腺样体肥大疗效[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 73-76.
[11] 刘俊茹,高英恺,杨杨,王俊菊,刘存军. 低温等离子刀切除舌根增生性肿物40例报告[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 83-84.
[12] 陈婷婷,郭其云,刘佳琪,刘丽庭. 探讨同期放化疗对儿童青少年鼻咽癌患者生活质量的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 55-58.
[13] 席玲,袁满红,过朵芳,杨华丽. LASIK患者眼压测量的多因素分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 99-103.
[14] 严槟,尹小芳,叶祖科,卢彦,洪剑威. 玻璃体腔注射雷珠单抗联合GLP治疗BRVO-ME的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 110-113.
[15] 吴允刚,张辉,刘黎明,庞太忠,李晓瑜. 鼓膜激光打孔治疗分泌性中耳炎20例[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 85-87.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!