在老年人群中的喉喉逆流的特征
Jacob Kuzy1, Camryn Marshall2, Parastou Azadeh Ranjbar3
1Drexel University College of Medicine, Philadelphia, Pennsylvania.
Journal of voice : official journal of the Voice Foundation
|February 7, 2024
概括
老年患者患有喉喉反流 (LPR) 往往没有声音投诉,与年轻人不同. 这项研究突出了老年人明显的LPR症状和生理差异,需要量身定制的诊断和治疗方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 老年医学 老年医学
背景情况:
- 喉回流 (LPR) 在老年患者中经常未被诊断,原因是缺乏胃灼热的非典型表现.
- 了解老年LPR患者的独特迹象,症状和客观措施对于准确的诊断和有效的管理至关重要.
研究的目的:
- 分析LPR在老年患者 (≥60岁) 的临床表现和客观发现.
- 将老年和年轻患者队列之间的LPR特征进行比较,以确定与年龄相关的差异.
主要方法:
- 288名LPR患者的回顾性审查 (2010年1月 - 2021年2月).
- 60岁以上的患者与40岁以下和40-59岁以下的患者的比较.
- 使用电波视频喉腔镜,24小时pH值监测,以及用于客观评估的计量仪.
主要成果:
- 与年轻患者 (94.1%) 相比,老年LPR患者报告声的可能性较低 (71%).
- 在老年患者中观察到下部和上部食道关节压力降低和食道运动能力受损.
- 在老年人群中,增加了心室消灭和减少了内喉粘液.
结论:
- 与年轻人群相比,老年患者表现出不同的LPR表现和生理变化.
- 在老年人群中诊断和治疗LPR时,年龄特定的考虑是必不可少的.
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