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在声中滥用类固醇:一项回顾性研究
Nupur Kapoor Nerurkar1, Apurva Vatkar1, Sonali Tyagi1
1Bombay Hospital Voice and Swallowing Centre, Bombay Hospital & Medical Research Centre, 2nd Floor MRC, Mumbai, Maharashtra 400020 India.
概括
类固醇经常在没有明确指示的情况下被处方为声音声,导致诸如真菌喉炎之类的不良影响. 在类固醇治疗之前准确的诊断对于有效的语音护理至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉腔病理学 喉腔病理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 声音 (HOV) 是一个常见的投诉.
- 对于HOV的类固醇使用很普遍,但说明和结果没有得到充分记录.
- 以往使用类固醇治疗是转诊到语音诊所的常见原因.
研究的目的:
- 为了审核在声音的患者中使用类固醇的情况.
- 确定用于HOV的未指示类固醇处方的比例.
- 评估二次性使用类固醇的不良影响的发生率,如真菌喉炎.
主要方法:
- 两年来语音诊所记录的回顾性审计.
- 审查患者文档和强光镜.
- 数据收集包括患者人口统计,类固醇处方细节和先前的喉评估.
主要成果:
- 10.6%的HOV患者先前接受过类固醇治疗.
- 类固醇仅在60%的患者处方时才适用.
- 在40%的病例中观察到未经指示的类固醇使用,16%的病例导致真菌喉炎.
结论:
- 在处方类固醇之前,准确诊断声音是必不可少的.
- 广泛的未经指示的类固醇使用有助于不利的喉状况.
- 需要改进的诊断协议,以优化HOV管理和预防阳性并发症.
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