淋巴缺陷和帕金森病:对声媒介化程序的全面审查
Megan Garabedian1, Andrew Keltz2, Michael Z Lerner2
1Department of Communication Disorders, Sacred Heart University, Fairfield, Connecticut.
Journal of voice : official journal of the Voice Foundation
|October 22, 2024
概括
声介质化手术,如注射喉膜整形 (IL) 和介质化甲状腺整形 (MT),对于患有失声症的帕金森病 (PD) 患者来说显示出短期的好处. 需要进一步的受控研究来确认疗效,并指导患者选择这些干预措施.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 声声障碍,包括由于囊缺陷的听力障碍,是帕金森病 (PD) 的常见早期症状.
- 手术干预,如声注射喉膜整形 (IL) 和媒介化胸膜整形 (MT) 是各种条件下的关闭的确立治疗方法.
研究的目的:
- 对IL和MT对改善帕金森病患者 (PWPD) 声功能益处的性质,程度和持续时间进行范围审查.
- 为患者提供关于声媒介化程序的候选人的见解,作为标准PD言语治疗的辅助.
主要方法:
- 使用了一个范围审查方法.
- 搜索了七个生物医学数据库和两个灰色文献资源,以查找英语出版物.
- 包括包括成人参与者被诊断患有PD的研究,经历了声音问题 (听力障碍/喉缺陷),并接受IL或MT治疗.
主要成果:
- 在174个获取的来源中,有18个符合纳入标准,包括研究研究,评论,会议记录和书籍章节.
- 研究表明,IL和MT的可行性和积极的短期结果是不同的.
- 批判性评估揭示了研究质量的局限性,包括不完整的人口统计数据,非连续招生,缺乏对照组,以及结果测量有效性问题.
结论:
- 需要进一步进行高质量的研究,使用严格的,受控的,盲目的和前性的设计.
- 澄清IL和MT的好处,有或没有语音治疗,对于改善PWPD声功能至关重要.
- 需要证据来指导患者选择声媒介化程序.
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