心理因素对反流性咽喉炎转归影响.docVIP

心理因素对反流性咽喉炎转归影响 　　[摘要] 目的 研究心理因素对反流性咽喉炎患者的影响，探索更有效的治疗方案。 方法 选取2013年9月～2015年3月反流性咽喉炎合并焦虑和（或）抑郁患者70例，随机分为实验组和对照组，每组各35例。对照组给予奥美拉唑、丹参酮胶囊及西吡氯铵含片治疗1个疗程后再联合黛力新继续第2疗程治疗；实验组在奥美拉唑、丹参酮胶囊及西吡氯铵含片基础上联合应用黛力新治疗2个疗程后，追踪治疗效果。 结果 第1个疗程结束后实验组有效率为88.57%，对照组有效率为34.29%，实验组明显优于对照组。第2个疗程结束后：对照组RSI评分（16.20±1.17）分，第2疗程明显优于第1疗程。 结论 黛力新辅助奥美拉唑等治疗反流性咽喉炎临床疗效明显，重视社会心理因素对疾病的影响，更好地为患者解除病痛。 　　[关键词] 心理因素；反流性咽喉炎；黛力新；抑酸治疗 　　[中图分类号] R766.5 [文献标识码] B [文章编号] 1673-9701（2016）14-0068-04 　　[Abstract] Objective To study the influence of psychological factors on the patients with reflux and to explore the more effective treatment plan. Methods 70 patients with reflux sore throat combined anxiety or depression were randomly divided into two groups from September 2013 to March 2015， the experimental group（35 cases） and control group （35 cases）. The control group were given omeprazole， tanshinone capsule and west pyrazole ammonium chloride lozenges for the first course， and joined Deanxit for the second course of the treatment； The group were combined with Deanxit in the treatment of the two courses， and then， the clinical efficacy of the two groups before and after treatment had been followed up. Results After one course of the treatment， the effective rate of the experimental group was 88.57%， the control group was 34.29%， the experimental group was significantly better than the control group. After second courses of treatment， the RSI score of control group was（16.20±1.17）， the second courses was better than the first one. Conclusion The cinical effect of the treatment for the patients with reflux who were treated by Deanxit， eprazole and so on， is obvious， we should pay attention to the impact of social psychological factors on the disease， looking forward to better relief. 　　[Key words] Psychological factor； Reflux laryngitis； Deanxit； Acid suppressive therapy 　　由于生活节奏的不断加快，以及作息及饮食习惯的改变，反流性疾病的发病率呈现不断增长的趋势。孙高洁等[1]认为：反流性疾病的发生可能与植物神经功能紊乱有密切联系。张莉莉等[2]发现焦虑、抑郁状态及植物神经功能紊乱均可影响机体对外界刺激的感知，甚至改变外界传入的信息，导致患者产生非病源性的疼