[Etiological analysis and individualized treatment of pharyngeal paraesthesia].
OBJECTIVE
To analyze the nosazontology of pharyngeal paraesthesia and investigate the treatment.


METHODS
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.


RESULTS
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%.


CONCLUSIONS
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.
Lou
Zhengcai
Z
Department of Otolaryngology, Center Hospital of Yiwu, Yiwu 322000, China. louzhengcai@yahoo.com.cn
Gong
Xuhong
X
Lou
Fangyi
F
He
Lanjuan
L
Zhu
Qiaoying
Q
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D010614:Pharynx / Q000473:pathology*; D055815:Young Adult