UMSARS与基于喉腔镜的断口症评估对比
Nadia El Fassi1, Anne Pavy le Traon2, Emmanuelle Mouchon1
1Department of ENT Hospital of Larrey Toulouse France.
Movement disorders clinical practice
|June 19, 2023
概括
统一的多系统性缩症评分表 (UMSARS) 对多系统性缩症 (MSA) 缺食的评估可能低估了吞困难. 耳鼻喉 (ENT) 评估提供了对喉功能障碍的更全面的评估.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 多系统性缩 (MSA) 是一种神经退行性疾病,经常影响吞.
- 通常使用统一多重系统缩评分表 (UMSARS) 部分I-item2进行评估.
研究的目的:
- 为了比较UMSARS第I部分第2项在评估食障碍方面的有效性,与详细的耳鼻喉 (ENT) 专家医生评估进行比较.
- 为了确定UMSARS是否能够充分捕捉到MSA患者吞障碍的严重程度.
主要方法:
- 对75名多重系统性缩患者进行了回顾性分析.
- 患者接受了UMSARS评估和专门的ENT评估,包括鼻纤维镜和放射镜检查.
- 还收集了消障碍指数 (DHI) 和肺部/营养并发症的数据.
主要成果:
- 耳鼻喉评估发现的严重性消化不良比UMSARS第I部分第2项得分更严重 (P=0.003).
- 呼吸道保护机制受损的患者更有可能患有严重的基于UMSARS的消化不良 (P=0.005).
- 较差的UMSARS得分与较高的DHI得分相关,表明与吞相关的痛苦更大.
结论:
- 在MSA患者的UMSARS第I部分第2项食障碍评估中,可能无法完全捕捉喉功能障碍的关键方面.
- 专门的耳,耳,耳科医生评估提供了更敏感的评估吞效率在MSA.
- 目前的UMSARS评分可能低估了MSA中食障碍的严重程度,可能会影响患者管理.
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