赖志刚

福建医科大学附属龙岩第一医院耳鼻喉科，福建龙岩364000

175例妊娠期耳鼻咽喉科疾病的临床分析

赖志刚

福建医科大学附属龙岩第一医院耳鼻喉科，福建龙岩364000

目的研究妊娠期妇女耳鼻咽喉科疾病的临床特征。方法将2013年1月～2015年1月在我院就诊的妊娠期妇女耳鼻咽喉科疾病患者纳入研究，收集临床资料进行分析。结果共计175例妊娠期患者入选，最常见的疾病主要为鼻出血、鼻炎、咽炎。治疗主要以保守治疗为主。无1例患者出现严重并发症。结论妊娠期妇女耳鼻咽喉科疾病主要是鼻出血、鼻炎和咽炎。妊娠期耳鼻喉科疾病的治疗主要以保守治疗为主。

妊娠期曰耳鼻咽喉科疾病曰鼻出血曰鼻炎

[Abstract]Objective To study the clinical characteristics of otorhinolaryngological diseases in pregnant women. Methods The pregnant women with otorhinolaryngological diseases who were admitted to our hospital from January 2013 to January 2015 were enrolled into the study.The clinical data were collected for analysis.Results A total of 175 pregnant women were enrolled.The most commonly seen diseases were nasal bleeding，rhinitis，and pharyngitis.The treatment was mainly conservative treatment.No severe complications were seen in the patients.Conclusion Otorhinolaryngological diseases in pregnant women are mainly nasal bleeding，rhinitis and pharyngitis.The treatment of otorhinolaryngological diseases during pregnancy is mainly conservative treatment.

[Key words]Pregnancy；Otorhinolaryngological diseases；Nasal bleeding；Rhinitis

妊娠期妇女体内雌激素和孕激素水平高，在正常妊娠中起到相关作用的同时也会影响到全身，从而出现相应的临床症状和体征，妊娠期基础代谢率升高和血容量增加在局部也会出现相应变化。除了一些少数致命性的疾病以外，大多数情况下可自愈，但少数情况下顽固难治影响孕妇的生活质量，对孕妇妊娠过程产生影响。妊娠期妇女可表现出许多耳鼻咽喉科症状，常见疾病为鼻炎（20%～40%［1］）和鼻出血（20%［2］），其他包括有咽喉反流、嗅觉下降、头晕和眩晕等。妊娠期耳鼻喉科疾病因其特殊性，治疗疾病的同时也要关注妊娠期妇女的身体状态，在药物治疗和手术治疗的选择上需要经过慎重考虑。研究和分析妊娠期妇女耳鼻咽喉科疾病的临床特点，有助于进一步选择安全有效的治疗方法。……