[与新型冠状病毒感染相关的声音障碍]
M A Kryshtopava1, T L Alenskaya1, M K Azaronak1
1Vitebsk State Order of Friendship of Peoples Medical University, Vitebsk, Republic of Belarus.
Vestnik otorinolaringologii
|December 28, 2023
概括
COVID-19幸存者经常经历耐火性失声症. 这项研究开发了一种诊断和治疗算法,显示了治疗后声音的显著改善,包括药物治疗,动态记录和心理治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 新型冠状病毒感染 (COVID-19) 可能导致持续的语音障碍.
- 听力障碍和听力障碍是常见的后果,影响患者的生活质量.
- 了解COVID-19后语音障碍的特征对于有效管理至关重要.
研究的目的:
- 在COVID-19后的患者中表征语音障碍.
- 开发一种用于诊断和治疗这些语音障碍的临床算法.
- 评估多模式治疗方法的有效性.
主要方法:
- 一项前性观察性研究包括60名患有COVID-19后听力障碍的患者.
- 在1个月的治疗期间之前和之后进行了全面的语音评估.
- 分析了包括P300和MMN在内的审计事件相关潜力 (AEP).
主要成果:
- 97%的患者出现了耐火性或复发性失声症/失声症.
- 观察到对supraglottic收缩和眼球缺陷的显著改善.
- 语音障碍指数 (VHI-10) 的得分从25.4下降到15.3; DSI 的得分从 -5.2提高到2.6; MFI-20 的得分从65.4提高到20.3.
结论:
- 后COVID-19听障症往往是耐火的,正如AEP的研究结果所表明的那样.
- 已经开发出了诊断和治疗的临床算法.
- 建议使用多模式治疗,包括药物治疗,动态记录和心理治疗.
相关概念视频
01:31Common Respiratory Disorders
549
Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
549
01:21Larynx
1.5K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.5K
01:20COPD: Pathogenesis and Clinical Features
279
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
279
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:31Respiratory System Abnormal Finding II: Palpation and Auscultation
474
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
474
01:23Chronic Pharyngitis
2.3K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.3K