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良性非手术性甲状腺疾病患者的吞咽自我感知

Self-perception of swallowing by patients with benign nonsurgical thyroid disease.

作者信息

Pernambuco Leandro, Silva Marlisson Pinheiro da, Almeida Marluce Nascimento de, Costa Erika Beatriz de Morais, Souza Lourdes Bernadete Rocha de

机构信息

Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.

Clínica Pedro Cavalcanti - Natal (RN), Brasil.

出版信息

Codas. 2017 Feb 23;29(1):e20160020. doi: 10.1590/2317-1782/20162016020.

DOI:10.1590/2317-1782/20162016020
PMID:28273248
Abstract

PURPOSE

To verify the frequency of swallowing complaints in patients with benign nonsurgical thyroid disease and compare the self-perception of swallowing disorder intensity between different types of thyroid disease.

METHODS

The study sample comprised 39 women aged 19-58 years (38.54 ± 10.74) with hypothyroidism (n=22; 56.4%) or thyroid nodules (n=17; 43.6%). Presence and type of swallowing complaint and self-perception of swallowing disorder intensity were investigated by means of self-ratings recorded on a 100-millimeter visual analog scale. The data were analyzed by descriptive measures and the Mann-Whitney nonparametric test was used to compare the self-perception of swallowing disorder intensity between both clinical diagnoses of thyroid disease. The level of 5% was adopted for statistical significance.

RESULTS

Twenty-six (66.7%) individuals reported the following swallowing complaints: pharyngolaryngeal stasis sensation (37.15%), chocking (34.29%), and odynophagia (28.57%). The mean value of self-perception of swallowing disorder intensity by the visual analog scale was 59.35 (± 27.38) millimeters. No difference in self-perception was reported between the clinical diagnoses of thyroid disease.

CONCLUSION

In this sample, swallowing complaint was frequently observed in patients with benign nonsurgical thyroid disease. Moderate self-perception of swallowing disorder intensity was reported regardless of the clinical diagnosis of thyroid disease.

摘要

目的

验证非手术性良性甲状腺疾病患者吞咽不适的发生率,并比较不同类型甲状腺疾病患者对吞咽障碍严重程度的自我认知。

方法

研究样本包括39名年龄在19至58岁(38.54±10.74)之间的女性,其中甲状腺功能减退患者22例(56.4%),甲状腺结节患者17例(43.6%)。通过在100毫米视觉模拟量表上记录的自我评分来调查吞咽不适的存在情况和类型,以及对吞咽障碍严重程度的自我认知。数据采用描述性统计方法进行分析,并使用曼-惠特尼非参数检验比较两种甲状腺疾病临床诊断之间对吞咽障碍严重程度的自我认知。采用5%的水平作为统计学显著性标准。

结果

26名(66.7%)个体报告了以下吞咽不适:咽喉部阻塞感(37.15%)、哽咽感(34.29%)和吞咽痛(28.57%)。通过视觉模拟量表对吞咽障碍严重程度的自我认知平均值为59.35(±27.38)毫米。甲状腺疾病的临床诊断之间在自我认知方面未报告差异。

结论

在本样本中,非手术性良性甲状腺疾病患者经常出现吞咽不适。无论甲状腺疾病的临床诊断如何,患者对吞咽障碍严重程度的自我认知均为中度。

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