对Iatrogenic口腔喉缩症的评估和结果
Shorook Naara1,2, Shadi Shinnawi1, Nadeem Habashi1
1Department of Otolaryngology-Head and Neck Surgery, Rambam Healthcare Campus, The Technion, Israel Institute of Technology, Haifa, Israel.
概括
通常由医疗治疗引起的阳性消化障碍是常见的,对吞治疗的反应也比其他类型更弱. 患有阳性失调症的患者经历了较差的结果,突出了针对性干预的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 消科学 消科学
背景情况:
- 口腔喉乱症是一个重大的临床挑战,影响患者的生活质量.
- 了解阳性消化不良与其他病因的不同结果对于有效的管理至关重要.
研究的目的:
- 为了研究阳性耳鼻功能障碍的临床结果.
- 为了比较治疗反应和iatrogenic失调的结果与非iatrogenic失调的结果.
主要方法:
- 在第三级医院的吞障碍中心评估的507名患者的回顾性分析.
- 根据失调病因,患者被分为六组,而治疗诱导的失调症被定义为iatrogenic失调症.
- 吞纤维光学内镜评估 (FEES) 结果使用透吸收量表 (PAS) 和吞性能状态量表 (SPSS) 进行分析.
主要成果:
- 阳性失调占病例的28.8% (146/507). 在这些病例中,阳性失调占28%.
- 患有非阴阳性发育不良的患者在吞干预后显著改善 (p < 0.001),与阴阳性发育不良组不同.
- 随访后的FEES,PAS和SPSS得分显示,非阴性发育不良症组的改善更大.
结论:
- 阴性消化不良是吞障碍诊所中普遍存在的疾病.
- 这种类型的消化不良表现出对传统的吞治疗的抵抗力,导致不太有利的结果.
- 需要进一步研究针对性干预措施,以治疗阳发育不良反应.
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