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喉咽反流患者的躯体焦虑

Somatic anxiety in patients with laryngopharyngeal reflux.

作者信息

Kang Jeong Wook, Lee Min Kyeong, Lee Young Chan, Ko Seong-Gyu, Eun Young-Gyu

机构信息

Department of Biomedical Science and Technology, Graduate School Kyung Hee University Seoul Republic of Korea.

Department of Otolaryngology-Head and Neck Surgery Kyung Hee University School of Medicine, Kyung Hee University Medical Center Seoul Republic of Korea.

出版信息

Laryngoscope Investig Otolaryngol. 2023 Aug 16;8(5):1288-1293. doi: 10.1002/lio2.1138. eCollection 2023 Oct.

DOI:10.1002/lio2.1138
PMID:37899863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10601585/
Abstract

OBJECTIVE

This study aimed to evaluate the relationship between laryngopharyngeal reflux (LPR) and anxiety in patients with LPR.

DESIGN

Prospective, case-control study.

SETTING

This study was conducted at a tertiary care center.

PARTICIPANTS

Sixty-four patients with LPR and 60 healthy controls.

METHODS

Patients with LPR and healthy individuals ( = 64 and  = 60) were enrolled in this study. The Beck Anxiety Inventory (BAI) and reflux symptom index (RSI) were used to evaluate anxiety and reflux-related symptoms, respectively. The BAI can be classified into somatic and subjective symptom scales. The prevalence of anxiety was compared between patients with LPR and healthy individuals. This study evaluated the relationship between BAI and RSI scores.

RESULTS

No statistical difference was found in the prevalence of anxiety between patients with LPR and healthy individuals (42.2% vs. 33.3%). However, the somatic anxiety symptom score was statistically higher in patients with LPR than in healthy individuals ( = .047). We observed a correlation between RSI and somatic anxiety scores of BAI in patients with LPR (rho = 0.286,  = .021).

CONCLUSION

Patients with LPR had more severe somatic anxiety symptoms, and somatic anxiety was associated with their LPR-related symptoms.

摘要

目的

本研究旨在评估喉咽反流(LPR)患者中LPR与焦虑之间的关系。

设计

前瞻性病例对照研究。

地点

本研究在一家三级医疗中心进行。

参与者

64例LPR患者和60名健康对照者。

方法

本研究纳入了LPR患者和健康个体(分别为64例和60名)。分别使用贝克焦虑量表(BAI)和反流症状指数(RSI)评估焦虑和反流相关症状。BAI可分为躯体症状量表和主观症状量表。比较了LPR患者和健康个体中焦虑的患病率。本研究评估了BAI与RSI评分之间的关系。

结果

LPR患者和健康个体在焦虑患病率方面未发现统计学差异(42.2%对33.3%)。然而,LPR患者的躯体焦虑症状评分在统计学上高于健康个体(P = 0.047)。我们观察到LPR患者中RSI与BAI的躯体焦虑评分之间存在相关性(rho = 0.286,P = 0.021)。

结论

LPR患者有更严重的躯体焦虑症状,且躯体焦虑与他们的LPR相关症状有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/10601585/e035bf4ba98c/LIO2-8-1288-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/10601585/e035bf4ba98c/LIO2-8-1288-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/10601585/e035bf4ba98c/LIO2-8-1288-g002.jpg

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Eur Arch Otorhinolaryngol. 2021 Sep;278(9):3387-3392. doi: 10.1007/s00405-021-06865-8. Epub 2021 May 25.
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Use of proton pump inhibitors to treat persistent throat symptoms: multicentre, double blind, randomised, placebo controlled trial.质子泵抑制剂治疗持续性咽喉症状的多中心、双盲、随机、安慰剂对照试验。
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Association between gastrointestinal complaints and psychopathology in patients with anorexia nervosa.
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How much pharyngeal exposure is "normal"? Normative data for laryngopharyngeal reflux events using hypopharyngeal multichannel intraluminal impedance (HMII).使用下咽多通道腔内阻抗(HMII)测量咽反流事件的正常咽暴露量是多少?
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