在流行病前和流行病期间,导致儿科患者声带功能障碍的心理因素
Aledie Navas Nazario1, Sreekara Singam2, Zhuo Li3
1Nemours Children's Health, Orlando, FL, United States.
Frontiers in pediatrics
|March 6, 2026
概括
儿童声带功能障碍 (VCD) 发生率在COVID-19大流行期间下降,与预期相反. 这凸显了对VCD的持续多学科评估的需要,考虑到其与心理状况的联系.
科学领域:
- 儿科肺病学 儿科肺病学
- 精神病体医学是一种精神病体医学.
- 流行病学 流行病学
背景情况:
- 声带功能障碍 (VCD) 通常被误诊为喘,并受到心理因素的影响.
- 随着COVID-19大流行,儿童医疗保健的获得面临着独特的压力和挑战.
- 疫情对VCD发病率和识别的潜在影响尚未被探索.
研究的目的:
- 在COVID-19大流行期间调查儿科VCD发病率的变化.
- 为了确定与儿科VCD最频繁相关的心理诊断.
- 分析儿科VCD的人口和并发症模式.
主要方法:
- 从2017年1月到2022年7月,对VCD患者的回顾性图表审查.
- 比较VCD发病率和心理诊断的流行病前与流行病期间的比较.
- 提取人口统计数据,诊断方法,触发因素,并发症和心理状况.
主要成果:
- 在大流行期间,VCD发病率显著下降 (0.7%对比0.3%).
- 相关的心理诊断,包括焦虑和抑郁症,也显示了适度的下降.
- VCD患者年龄较大,主要是女性,喘,过敏性鼻炎,GERD和心理疾病的发病率更高.
结论:
- 在大流行期间,儿科VCD发病率下降,可能是由于医疗保健的减少或诊断不足.
- 视觉疾病与心理状况的持续关联强调了其生物心理社会性质.
- 多学科评估对于有效管理儿科VCD至关重要.
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