性失声症患者对肉毒毒素注射后疼痛的感知
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
The Laryngoscope
|July 6, 2023
概括
接受肉毒素 (BTX) 注射治疗性失声症的患者报告轻度疼痛. 双边注射,不是专业的语音用户,以及更高的VHI-10分数与增加疼痛感知有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 性听力障碍是一种语音障碍,通常用喉肉毒素 (BTX) 注射来治疗.
- 患者对与这些注射相关的疼痛的感知对于治疗管理和治疗坚持至关重要.
研究的目的:
- 为了评估患者在喉BTX注射治疗性失声症后报告的疼痛感知.
- 为了确定与治疗患者中疼痛得分较高相关的因素.
主要方法:
- 一项前性队列研究涉及119名成年患者,这些患者患有添加器性失声症,接受BTX注射.
- 疼痛评估使用视觉模拟量表 (VAS) 程序前和后和简短形式麦吉尔疼痛问卷 (SF-MPQ) 程序后.
- 进行统计分析,包括单变量和多变量回归,以确定与疼痛相关的因素.
主要成果:
- 患者报告了注射后的整体轻度疼痛 (SF-MPQ: 4.12 ± 4.05;VAS: 24.5 ± 22.3 mm).
- 与单边注射相比,双边注射与显著更高的SF-MPQ得分相关 (p=0.012).
- 更高的预测疼痛 (pre-VAS) 和总SF-MPQ得分与双边注射和更高的VHI-10得分有显著联系. 不是专业的语音用户与更高的VAS后分数相关.
结论:
- 喉BTX注射用于性失声症通常耐受良好,报告的疼痛很低.
- 双边注射,非专业语音用户身份和较高的VHI-10分数等因素与疼痛感知增加有关.
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