在患有慢性阻燃性咳和口腔喉缺血症的患者中进行咳抑制疗法
ShengYing A Chen1, Jessica F Kim2, Priya Krishna3
1School of Medicine, Loma Linda University, CA.
American journal of speech-language pathology
|February 26, 2025
概括
咳抑制疗法 (CST) 改善了慢性不耐咳 (CRC) 和口腔喉功能障碍 (DYS) 患者的吞困难. 这种治疗对经历DYS而没有愿望的CRC患者提供了显著的好处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 胃肠病学 胃肠病学
背景情况:
- 慢性难治性咳 (CRC) 尽管经过治疗,但影响超过8周,并且经常与口腔喉不全症 (DYS) 一起发生.
- 咳抑制疗法 (CST) 通过增强呼吸道控制,对CRC显示出前景.
- 在CRC患者中,CST对DYS的影响仍未得到充分研究.
研究的目的:
- 调查CST对CRC和口腔喉DYS患者自我评估的DYS严重性的影响.
- 为了比较DYS严重程度的变化,在CRC患者和没有伴并发性DYS后CST.
主要方法:
- 对接受CST的106名CRC患者的回顾性图表审查.
- 确定了30名年龄和性别匹配的患者,15名CRC+DYS,15名仅CRC.
- 使用了强光镜检查和验证的调查 (咳严重性指数,饮食评估工具-10) 进行治疗前后的评估.
主要成果:
- 患有CRC+DYS的患者在CST后报告了DYS严重程度的统计显著下降.
- 在CRC+DYS组的治疗后DYS得分与仅CRC组的得分相当.
- 两组都经历了类似的咳严重程度的减少,基线特征或治疗参数没有显著差异.
结论:
- 在CRC患者中,CST可以显著改善自主评估的吞障碍严重程度,只要没有愿望.
- CST是一种可行的治疗选择,用于在CRC患者中管理并发性DYS.
- 需要进一步的研究来探索CST对DYS的好处背后的机制.
相关概念视频
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Chronic Pharyngitis
892
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,...
892
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
218
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
218
COPD: Management Using Bronchodilators and Corticosteroids
170
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
170
Suctioning the Oropharyngeal Airway
162
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
162
Gastroesophageal Reflux Disease II: Clinical Features and Management
44
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
44


