系统性影响和吸收的亚皮质德克萨米他声注射
Mostafa Alwan1, Debra J Phyland1,2, Julian A Smith2
1Department of Otolaryngology, Monash Health, Melbourne, Victoria, Australia.
The Laryngoscope
|October 14, 2024
概括
皮下声类固醇注射 (VFSI) 会导致暂时的全身效应,包括低丘脑-垂体-上腺 (HPA) 轴抑制,这会在3天内消失. 声增强 (VFA) 显示没有显著的系统性变化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
背景情况:
- 对语音障碍的办公室程序越来越多.
- 了解声干预的系统性影响至关重要.
研究的目的:
- 为了比较声类固醇注射 (VFSI) 和声增强 (VFA) 后的系统变化.
- 评估这些系统性影响的规模和持续时间.
主要方法:
- 展望性比较研究涉及14名VFSI患者和36名VFA患者.
- 测量血清皮质醇,白细胞计数 (WCC) 和C反应蛋白 (CRP) 在手术前和第1和第7天.
- 在手术后7天,每天监测唾液皮质醇.
主要成果:
- 在手术后一天,使用德克萨米他的VFSI显著降低了血清和唾液皮质醇水平,并在第7天恢复.
- 白细胞计数受到VFSI的暂时影响,但在第7天正常化.
- VFA程序没有显示皮质醇或WCC的显著变化.
- 在这两种手术中都没有观察到CRP或生理参数的显著变化.
结论:
- 德克萨米他在VFSI后被系统吸收.
- 在VFSI之后,急性下丘脑-垂体-上腺 (HPA) 轴抑制发生.
- 在手术后的第三天,HPA轴的功能恢复正常.
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