暂时声增强结果对耐火性慢性咳与同时非麻性喉缺陷,由于声缩缩
Christopher D Dwyer1, Mira Fein1, Lindsey Gordon1
1Brigham & Women's Hospital, Department of Surgery, Division of Otolaryngology, Boston, Massachusetts.
Journal of voice : official journal of the Voice Foundation
|August 6, 2024
概括
在一些患有耐火性慢性咳 (RCC) 和喉功能不全 (GI) 的患者中,使用碳氧甲基纤维素 (CMC) 进行临时声增大可提供主观咳改善. 这种程序可以作为一种诊断试验,用于对其他治疗无反应的持续性咳.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 调查医学 调查医学
背景情况:
- 耐火性慢性咳 (RCC) 显著影响生活质量.
- 由于声缩而导致的喉缺陷 (GI) 是RCC的潜在潜在原因.
- 对于对标准疗法耐药的RCC存在有限的治疗选择.
研究的目的:
- 在RCC和GI的患者中,使用carboxymethylcellulose (CMC) 确定临时声增强的疗效.
- 为了评估主观咳改善和生活质量变化后增加.
主要方法:
- 对28名双边声缩和经过CMC增强的RCC患者的回顾性图表审查.
- 排除声不运动的患者;咳持续至少8周.
- 收集了语音障碍指数 (VHI-10),咳严重性得分 (CSI) 和耐性咳症状得分 (RSI) 数据,以及主观患者报告.
主要成果:
- 在30项增强手术中,13名患者 (43%) 报告咳改善令人满意,5人 (17%) 报告部分改善,7人 (23%) 报告没有改善.
- 平均CSI,VHI-10和RSI得分显示,增加前和增加后没有统计学上显著的变化 (P > 0.05).
- 观察到主观改善的趋势,有13名患者报告了令人满意的结果.
结论:
- 使用CMC暂时增强声可以在RCC和GI患者的一个子组中提供主观咳缓解.
- 该程序可以被认为是持续咳的诊断试验,可能导致进一步增强.
- 需要进一步的前性研究来确定成功的预测因素和评估持久增强结果.
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