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耐火性慢性咳:耳鼻喉科医生的一份最先进的评论
Gabriela L Lilly1, Thomas Carroll2, Kristine Pietsch1
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
概括
耐火性慢性咳 (RCC) 的新兴治疗方法针对过敏咳反射. 新的选择包括神经调节剂,神经阻塞和肉毒素注射,以改善患者的治疗结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 难治性慢性咳 (RCC) 在耳鼻喉科诊所越来越普遍.
- 标准的第一线治疗反流,鼻,肺和ACE抑制剂相关的咳往往对RCC无效.
- 耳鼻喉科的角度对于管理这些复杂的病例至关重要.
研究的目的:
- 审查耐火性慢性咳 (RCC) 的新兴治疗方法.
- 为提供一种专注于耳鼻喉学的新疗法策略的概述.
- 更新临床医生关于RCC管理的最新进展.
主要方法:
- 进行了全面的文献审查.
- 搜索集中在Pubmed上,研究慢性咳,RCC病理生理学和不断发展的治疗方法.
- 该审查总结了当前和新兴的治疗模式.
主要成果:
- 针对RCC的新疗法旨在调节过敏咳反射.
- 治疗选择包括神经调节剂,上喉神经阻塞,声增大,肉毒素注射和局部素.
- 还讨论了P2X3抗剂和改善喉回流管理.
结论:
- 对RCC生理学的更深入的理解指导着新的治疗开发.
- 这些新兴疗法为治疗耐火性慢性咳提供了有希望的途径.
- 对这些方法的更深入的了解可以改善耳鼻喉科设置中的RCC患者护理.
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