行为喷射再训练协议 (BERP):一种用于R-CPD的新型辅助行为疗法.
Andrew Keltz1,2, Kathryn E Simmons1, Michael Z Lerner1,2
1Division of Otolaryngology, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA.
The Laryngoscope
|July 15, 2025
概括
行为喷射再训练协议 (BERP) 疗法对逆行性喉功能障碍 (R-CPD) 患者有希望,在注射肉毒素 (BTX) 后不完全缓解症状. 这种语音语言病理学干预有助于重新训练勃起,提供了一个新的治疗途径.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 胃肠病学 胃肠病学
背景情况:
- 逆行性喉功能障碍 (R-CPD) 通常用注射肉毒素 (BTX) 进入喉 (CP) 肌肉来治疗.
- 在CP BTX注射后,多达20%的患者经历不完全的症状缓解或复发,需要替代治疗.
研究的目的:
- 为了探索一种行为干预的有效性,行为喷射再训练协议 (BERP),作为R-CPD患者的辅助疗法,对CP BTX注射有不完全的反应.
主要方法:
- 一个追溯的案例系列,涉及七名患有R-CPD的个体,他们在注射CP BTX时获得了不理想的结果.
- 患者接受了语音语言病理干预 (BERP),重点是实现特定的身体位置以促进勃起,包括喉下降,下巴突起,头转和,以及干 anchoring.
主要成果:
- 在7名患者中,有6名患者通过结合CP BTX和BERP疗法实现了持久的R-CPD症状缓解.
- 五名患者报告了显著的主观改善,其中一人指出完全解决.
- 六名患者在初始治疗期间使用BERP定位成功证明了勃起.
结论:
- 行为喷射再训练协议 (BERP) 是对R-CPD患者的有前途的辅助疗法,这些患者对CP BTX注射的反应不完全.
- 需要进一步的前性研究来验证BERP在R-CPD治疗中作为CP BTX的辅助剂的有效性.
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