Objective Pharyngeal foreign body is a common disease observed in E.N.T department,among which the most frequently seen is fishbone-in-pharynx. This study carried out clinical analysis towards 177 cases of fishbone-in-pharynx patients from Jiaxing First Hospital's night emergency shift,in order to understand fishbone-in-pharynx patients' clinical features,medication tendencies,self treatment behaviors, and their awareness of proper treatment methods. Methods Prevalence survey was conducted on 177 cases of fishbone-in-pharynx patients through questionnaires. Meanwhile,comprehensive research and analysis were conducted in order to gather data about patients' age,time of consultation and awareness of proper treatment methods. Results 70.6% of the patients had attempted self-treatment before consulting a doctor;48.6% of the patients had wrong understanding towards treatment of fishbone-in-pharynx. Whether the fishbone was removed and post-self-treatment condition and the difference in time lag before treatment presented statistical significance. On the other hand,whether the fishbone was removed and patients' gender, type of fish,position to sense pain did not present statistical significance. Difference in age and difference in time lag before treatment presented statistical significance. Conclusion Half of the patients hold the wrong idea about how to handle fishbone-in-pharynx properly. However,most patients conduct improper self-treatment before consulting a doctor. Whether the fishbone is removed is correlated to the patients' post-self-treatment condition and the time lag before treatment. Therefore,hospitals and medias should raise public's awareness to conduct proper treatment towards fishbone-in-pharynx through enhancing relevant publicity and education.%目的 分析咽部鱼刺卡顿患者临床特点,提高临床诊治水平.方法 通过问卷方式对177例咽部鱼刺卡顿患者的基本资料、就医时间、自行处理及认知情况等进行调查,分析影响鱼刺取出因素.结果 70.62%的患者在就诊前曾自行处理,48.58%的患者对咽部鱼刺卡顿的处理认知有误.咽部鱼刺是否取出与患者就诊前自行处理情况及就诊时间相关(P<0.05),与性别、鱼的种类、疼痛部位无相关(P>0.05).结论 鱼刺能否取出与就诊前自行处理情况及就诊时间的长短存在相关性,而大部分患者在就诊前进行过不当的自行处理,近半数患者对咽部鱼刺的处置认知有误.因此,医院及社会媒体应加强宣教,提高群众对咽部鱼刺认知处置能力.
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