Comparison analysis of clinical characteristic of non-organic dyspnea and asthma both with a complaint of dyspnea / 上海交通大学学报（医学版）

Objective·To investigate and compare the clinical characteristic of non-organic dyspnea and asthma both with complaint of dyspnea.Methods·Seventy-four consecutive patients with non-organic dyspnea,and 74 age-,height-,weight and sex-matched patients with asthma were recruited for investigation in the study.The self-assessment surveys were conducted for the two groups by means of Hospital Anxiety and Depression Scale,Nijmegen Questionnaire and Athens Insomnia Scale.The words for describing dyspnea,clinical symptoms,effective sleep hours and items of pulmonary function test were collected and analyzed Results·Non-organic dyspnea patients tended to describe psychogenic aspects.Asthma patients tended to describe airflow limitation.Non-organic dyspnea group mainly performed psychogenic symptoms.The sleeping time in non-organic dyspnea group was significantly lower than that in asthma group(P＜0.05).The score of anxiety,depression,Nijmegen Questionnaire,Athens Insomnia Scale,FEV1,FEV1％Pred,FVC％Pred,FEV1/FVC in non-organic dyspnea group were significantly higher than those in asthma group (P＜0.05).There was no significant difference in FVC between two groups(P＞0.05).Conclusion·The non-organic group feel more anxiety,depressed and insomnic than the asthma group.Lung function test of asthma group is often abnormal.To discriminate non-organic dyspnea with asthma,clinicians should pay more attention to emotion,sleep,somatoform symptoms,medical history and so on,and do pulmonary function test,improve the understanding of the characteristics of the two diseases,decrease misdiagnosis and wrong diagnosis.

A comparison between adults and children tonsillectomy with monopolar electrocautery / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#Tonsillectomy is one of the most frequently applied operations in the ENT practice. This prospective study compared intraoperative records and postoperative clinical outcomes between adults and children patients following monopolar electrocautery tonsillectomy.@*METHOD@#Forty adult patients and Forty children patients with histories of recurrent tonsillitis or hypertrophic tonsillitis were enrolled. Intraoperative parameters and postoperative outcomes were compared.@*RESULT@#Children tonsillectomy with monopolar electrocautery was significantly faster to perform (P 0.05) than adults, but there was no significant difference in pain on the 14th postoperative day in two groups. There was no obvious postoperative hemorrhage in two groups. There was no significant difference in postoperative tonsillar fossa healing and postoperative temperature between the groups.@*CONCLUSION@#Children and adults tonsillectomy with monopolar electrocautery had clinical characteristics respectively. Monopolar electrocautery tonsillectomy was safe and operated easily in both two groups.

Clinical comparison of idiopathic sudden deafness in children and the elderly / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#This retrospective study compared clinical manifestations of idiopathic sudden hearing loss between children and the elderly.@*METHOD@#44 pediatric patients and 76 elderly patients diagnosed with idiopathic sudden deafness in our clinic from December 2009 to September 2014 were enrolled. Different clinical parameters were compared.@*RESULT@#The incidence of initially profound hearing loss was highest and mild hearing loss was lowest in both groups (P 0.05). The number of patients was the most in initially profound type of audiogram pattern and the fewest in ascending type in both groups (P 0.05). The highest recovery rate in children was in those with descending type and the lowest was in those with profound type (P 0.05). Hearing recovery rates of descending type in children were higher than that in elderly patients. Presence of tinnitus in pediatric patients was not relavent to the outcome (P > 0.05). Presence of tinnitus in elderly patients was associated with favorable outcomes. (P 0.05). Presence of dizziness in elderly patients was associated with poor outcomes (P 0.05). Presence of chronic diseases in elderly patients was not associated with the outcome (P > 0.05).@*CONCLUSION@#The clinical manifestion of idiopathic sudden deafness is respective in Children and in elderly patients.