上呼吸道呼吸不全的临床特征最新情况:一种混合方法研究
Juliana K Litts1, Sandeep Shelly2, Kaila F J Harris3
1University of Colorado School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Aurora, CO.
Journal of voice : official journal of the Voice Foundation
|September 6, 2023
概括
患上呼吸道呼吸障碍 (UAD) 的患者通常会同时出现头部,部和身体的症状. 本研究中的大多数UAD患者表现出正常的声功能,表明UAD呈现是复杂的和多因素的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 上呼吸道呼吸障碍 (UAD) 是一种复杂的疾病,具有多种不同的临床表现.
- 了解UAD的多面性质对于有效的诊断和管理至关重要.
- 以前的研究还没有完全阐明喉,主观和心理因素在UAD中的相互作用.
研究的目的:
- 为患上上呼吸道呼吸障碍 (UAD) 患者的临床表现提供混合方法更新.
- 调查客观的喉发现,患者报告的结果和UAD患者的心理诊断.
- 为了比较慢性和偶发性UAD症状组之间的定性数据.
主要方法:
- 一项前性,多中心,混合方法研究,涉及30名在两个三级耳鼻喉诊所的呼吸障碍患者.
- 排除标准包括结构性喉异常,不受控制的肺部疾病和其他影响呼吸的疾病.
- 数据收集包括喉检查,验证的症状问卷 (例如DI,VHI-10,EAT-10,CSI,VCDQ,SSS-8,STAI) 和患者体验的定性分析.
主要成果:
- 喉检查显示,静止状态下26.66%的人和发音过程中83.33%的人出现了喉缩;93%的人有正常的声运动.
- 在呼吸不良指数 (DI) 评分和VHI-10,EAT-10,CSI,VCDQ和SSS-8之间观察到显著的相关性.
- 没有发现DI和状态特征焦虑指数之间有显著的相关性;定性分析显示了慢性与偶发性呼吸障碍的不同主题.
结论:
- 患有UAD的患者经常报告相关的头部,部和一般身体症状.
- 这个队列中的大多数UAD患者在喉腔镜检查中没有表现出异常的声运动.
- 虽然慢性和情节性UAD组在质量上有所不同,但焦虑水平在他们之间没有显著差异.
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