声带功能障碍:在喉镜检查中,喉引进是否能预测疾病的严重程度和对喉再培训治疗的反应?
David Ahmadian1, Nader Wehbi2, Claire M Gleadhill3
1College of Medicine University of Arizona Tucson Arizona USA.
Laryngoscope investigative otolaryngology
|December 3, 2024
概括
喉呼吸系统再培训疗法 (LRT) 有效地治疗声带功能障碍 (VCD),即使喉腔镜检查显示没有提. 大多数患者经历了部分或显著的症状改善LRT.
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
- 语音语言病理学 语言病理学
背景情况:
- 声带功能障碍 (VCD) 呈现为偶尔的声提,导致呼吸困难.
- 缺乏标准化的诊断和治疗标准使VCD管理复杂化.
- 喉呼吸再训练疗法 (LRT) 是对VCD的首选治疗方法.
研究的目的:
- 评估LRT在VCD患者中的疗效.
- 为了比较LRT结果在患有和没有可见的喉 adduction 在喉腔镜检查期间的患者.
主要方法:
- 对被诊断患有VCD的患者的回顾性分析.
- 评估对喉呼吸系统再训练疗法的反应 (LRT).
- 基于喉镜检测结果 (引导的存在或不存在) 的结果比较.
主要成果:
- 74.1%的患者对LRT表现出积极反应 (62.1%的部分,12.1%的显著).
- 没有观察到LRT会话,响应时间或整体响应率的显著差异,在喉镜检查中进行喉引和不进行喉引的组之间.
- 在检查过程中,无论可见的喉 adduction 如何,LRT 证明了有效性.
结论:
- LRT是声带功能障碍的有效治疗方法.
- 对于所有患有VCD症状的患者,无论喉腔镜检查结果如何,都应该考虑LRT.
- 该研究支持LRT在VCD管理中的广泛应用.
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