保守治疗在青少年复发性炎中的有效性:一项回顾性研究
Yanxiang Li1,2,3,4,5, Shutong Niu1,2,3,4,5, Zhiyuan He1,3,4,5
1Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Oral diseases
|December 31, 2024
概括
保守治疗显著减少了青少年复发性炎 (JRP) 的儿童的发作. 虽然对大多数人有效,但免疫系统的成熟可能会影响患者对JRP疗法的反应.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 免疫学 免疫学 免疫学
背景情况:
- 青少年复发性炎 (JRP) 影响儿童,导致腺复发性胀.
- 保守管理是JRP的常见治疗方法.
研究的目的:
- 评估JRP在儿科患者中保守治疗的治疗效果.
- 确定与JRP儿童治疗反应相关的因素.
主要方法:
- 对55名被诊断患有JRP的儿童的临床数据进行了回顾性分析.
- 患者接受了保守的治疗,包括sianlagogues,温暖的压缩,按摩和抗生素.
- 评估症状的复发,改善率和血清免疫球蛋白水平 (IgG,IgA,IgM).
主要成果:
- 保守治疗显著降低了JRP发作频率 (3.35至1.11).
- 81.81%的患者显示临床症状有所改善,而60%的患者出现了复发.
- 与改善组相比,没有反应的患者 (3-5岁) 的血清IgG,IgA和IgM水平显着更高.
结论:
- 保守治疗对大多数患有JRP的儿童是有效的.
- 治疗反应可能与免疫系统成熟相关.
- 对于没有反应或严重的JRP病例,建议进一步评估免疫失调.
相关概念视频
Tonsillitis II: Management
86
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
86
Chronic Pharyngitis
505
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
505
Acute Pharyngitis
188
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
188
Operant Conditioning Intervention
18
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
18
Myasthenia Gravis: Overview and Treatment
932
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
932
Acute Respiratory Failure-V
96
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
96


