在COVID-19后失声症中的客观和主观语音结果:高速视频内镜前后研究
Joanna Jeleniewska1, Jakub Malinowski1, Ewa Niebudek-Bogusz1
1Department of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, Poland.
Journal of clinical medicine
|October 16, 2025
概括
随着多式联络疗法,COVID-19后的听力障碍得到了改善. 高速视频内镜和患者结果显示,在治疗持续的语音问题后,语音障碍的显著恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语言病理学 语音病理学
- 病毒学 病毒学
背景情况:
- 后COVID-19的情况经常涉及语音障碍.
- 在孤立的COVID-19后失声症中评估语音障碍和治疗反应至关重要.
研究的目的:
- 评估COVID-19后隔离失声症患者的客观和主观语音障碍.
- 评估对多模式治疗方案的短期反应.
主要方法:
- 对14名患有COVID-19后隔离性听障症的患者进行了回顾性,单中心的前后研究.
- 标准化评估包括患者报告的结果 (VHI,V-RQOL) 和仪器性喉分析 (LVS,HSV与kymography).
- 多式疗法包括全身/吸入性皮质类固醇,氨酸和语音疗法.
主要成果:
- 基线HSV显示了状腺功能不充分 (运动不规律,幅度/柔性降低,粘膜波动中断,开放系数增加).
- 随访HSV显示振荡,振幅,规律性有所改善,不对称性减少;语音振动图正常化.
- 仪器上的改进与更好的VHI和V-RQOL分数相关.
结论:
- 建议对持续的SARS-CoV-2后失声症进行仪器性喉评估的综合耳鼻腔检查.
- 短期多式联络管理对客观语音测量和患者报告的结果产生了积极影响.
- 需要进一步的受控研究来证实这些发现.
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