基于病因治疗的多学科团队讨论改善了耐火性慢性咳的结果
Yicong Lu1, Wanting Huang2, Danruo Fang1
1Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, 88# Jiefang Road, Hangzhou, Zhejiang, 310009, China.
一个多学科团队 (MDT) 诊所在88.7%的患者中有效地确定了耐火性慢性咳 (RCC) 的原因. 治疗导致大多数患者在几周内显著改善症状.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 耐火性慢性咳 (RCC) 显著影响患者的生活质量.
- 需要改善RCC的诊断和治疗策略.
研究的目的:
- 使用多学科团队 (MDT) 方法调查RCC的病因.
- 评估RCC治疗的有效性.
主要方法:
- 建立了一个MDT诊所,整合了呼吸道,耳鼻喉和胃肠病专家.
- 用咳视觉模拟尺度 (VAS),莱斯特咳问卷 (LCQ) 和反流症状指数 (RSI) 评估病因和治疗有效性.
主要成果:
- 在115名分析患者中,MDT诊所在88.7%的患者中诊断出RCC.
- 常见的原因包括胃食道逆流咳 (63.5%),上呼吸道咳综合征 (UACS) (43.5%),以及咳变体喘 (CVA) (14.8%).
- 经过大约2周的治疗,73.9%的患者出现了部分缓解,6.1%的患者完全缓解,VAS,LCQ和RSI得分显著改善 (P<0.05).
结论:
- 在MDT诊所成功地确定了大多数RCC患者的病因.
- 在短时间的治疗期间,观察到与咳相关的症状有显著改善.
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