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[不同程度焦虑患者咽异感症的临床特征分析]

[Analysis on clinical characters of pharyngeal paraesthesia in patients with different degrees of anxiety].

作者信息

Chu Z H, Meng B B, Zhang X Y

机构信息

Department of Otorhinolaryngology,the Second People's Hospital of Nantong,Nantong,226002,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Mar 20;31(6):441-445. doi: 10.13201/j.issn.1001-1781.2017.06.008.

DOI:10.13201/j.issn.1001-1781.2017.06.008
PMID:29871282
Abstract

To investigate the therapeutic effect and potential reason for anxiety in pharyngeal paraesthesia in patients with different degrees of anxiety based on their characteristics.All patients were divided into three groups according to self-rating anxiety scale(SAS),including group 1(mild anxiety),group 2(moderate anxiety)and group 3(severe anxiety).The characteristics,risk factors and prognosis in each group were compared and analyzed.Meanwhile,State-Trait Anxiety Inventory(STAI)was used to analyze anxiety state of all patients and healthy participates(Group 4).SPSS13.0 statistical software was used for data analysis. The proportions of female patients(54.05%) who had anxiety symptom were higher than those of male patients(45.95%).The proportions of moderate anxiety in female patients were higher(<0.01),but those of mild anxiety were lower(<0.01) compared with male patients. There was no gender difference about the proportions of severe anxiety. The patients aged 40-59 years had the highest proportions of anxiety(60.14%)and a higher proportions of moderate and severe anxiety compared with the patients aged 18~39 years and over 60 years old(<0.05).However, there was no significant difference in proportions of different degrees of anxiety between the patients aged 18-39 years and over 60 years old(>0.05).The proportions of mild anxiety in patients with 5-10 years duration and those of moderate anxiety in patients with the course of less than 5 years were all the highest.However, no difference was found in proportions of severe anxiety among different courses(>0.05).The proportions of moderate anxiety(except mild and severe anxiety) in patients with no fixed occupation and no senior middle school education were higher than those in patients with fixed occupation and senior middle school education or above(<0.05).But there were no relationships between the degrees of anxiety and other general conditions of patients,including marital status and live condition. Among different degrees of anxiety,the proportions of patients who feared cancer were all the highest, followed by stress and mental stimulation factors.The proportions of patients who feared cancer and felt stress were higher in severe anxiety than those in mild and moderate anxiety.But there was no significant difference between any two groups in other related factors,including mental stimulation factors, obsessive-compulsive disorder(OCD) and family history of psychosis.Male and female patients with different degrees of anxiety compared with healthy controls respectively,had significant difference in state anxiety(SAI) scores(<0.05),but showed no significant difference in trait anxiety(T-AI) scores(>0.05). Both recovery rates and total effective rates of mild and moderate anxiety were higher than those of severe anxiety(<0.01).However,there was no difference between mild and moderate anxiety whether in recovery rates or in total effective rates (>0.05). Pharyngeal paraesthesia in patients with different degrees of anxiety has different clinical features and prognosis .The main cause of anxiety appears to be a long duration of treatment. No obvious anxiety potential was found in patients compared with normal people.

摘要

基于不同程度焦虑患者的特征,探讨咽异感症患者焦虑的治疗效果及潜在原因。所有患者根据自评焦虑量表(SAS)分为三组,包括1组(轻度焦虑)、2组(中度焦虑)和3组(重度焦虑)。比较并分析每组患者的特征、危险因素及预后。同时,采用状态-特质焦虑问卷(STAI)分析所有患者及健康对照者(4组)的焦虑状态。使用SPSS13.0统计软件进行数据分析。有焦虑症状的女性患者比例(54.05%)高于男性患者(45.95%)。与男性患者相比,女性患者中度焦虑的比例更高(<0.01),但轻度焦虑的比例更低(<0.01)。重度焦虑的比例在性别上无差异。40 - 59岁的患者焦虑比例最高(60.14%),与18 - 39岁及60岁以上的患者相比,中度和重度焦虑的比例更高(<0.05)。然而,18 - 39岁和60岁以上患者不同程度焦虑的比例无显著差异(>0.05)。病程5 - 10年患者的轻度焦虑比例以及病程少于5年患者的中度焦虑比例均最高。然而,不同病程患者的重度焦虑比例无差异(>0.05)。无固定职业且未接受高中及以上教育患者的中度焦虑比例(除轻度和重度焦虑外)高于有固定职业且接受高中及以上教育的患者(<0.05)。但焦虑程度与患者的其他一般状况,包括婚姻状况和生活条件之间无关联。在不同程度的焦虑中,恐惧癌症的患者比例均最高,其次是压力和精神刺激因素。重度焦虑患者中恐惧癌症和感到压力的比例高于轻度和中度焦虑患者。但在其他相关因素,包括精神刺激因素、强迫症(OCD)和精神病家族史方面,任意两组之间均无显著差异。不同程度焦虑的男性和女性患者与健康对照者相比,状态焦虑(SAI)得分有显著差异(<0.05),但特质焦虑(T - AI)得分无显著差异(>0.05)。轻度和中度焦虑的康复率和总有效率均高于重度焦虑(<0.01)。然而,轻度和中度焦虑在康复率或总有效率方面均无差异(>0.05)。不同程度焦虑的咽异感症患者具有不同的临床特征和预后。焦虑的主要原因似乎是治疗时间长。与正常人相比,患者未发现明显的焦虑倾向。

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