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| 題 名 | Applications of Reflux Symptom Index and Reflux Finding Score in Voice Clinic=咽喉逆流症狀指數及咽喉逆流徵兆分數於嗓音門診之應用 |
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| 作 者 | 卓筱芸; 張學逸; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
| 卷 期 | 51:1 2016.01-03[民105.01-03] |
| 頁 次 | 頁28-34 |
| 分類號 | 416.89 |
| 關鍵詞 | 咽喉逆流; 咽喉逆流症狀指數; 咽喉逆流徵兆分數; 嗓音疾患; Laryngopharyngeal reflux; Reflux symptom index; Reflux finding score; Voice disorders; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:嗓音問題的患者常同時伴隨咽喉逆流,利用簡單且精準的方法來評估病患咽喉逆流的嚴重程度,可提供更有效的治療。研究指出當咽喉逆流症狀指數(reflux symptom index) > 13,或咽喉逆流徵兆分數(reflux finding score) > 7時,強烈建議有咽喉逆流的問題。此研究在分析兩種咽喉逆流指標之間的關連性,以及二者在各種不同聲帶疾患的表現,以檢視臨床實用性。方法:蒐集所有因嗓音問題超過1個月以上,且未接受過咽喉逆流治療的初診病患,由問診方式完成咽喉逆流症狀指數,並經咽喉內視鏡檢查及頻閃光源內視鏡檢查後,記錄其聲帶病灶以及咽喉逆流徵兆分數。依聲帶病灶將患者分為三大類,第一類為神經肌肉或先天性疾患;第二類為發炎性及實質性聲帶疾患;其他無法歸入前兩類診斷的嗓音病患則分至第三類。結果:所有143名患者的咽喉逆流症狀指數和徵兆分數未達顯著相關;第二類患者咽喉逆流徵兆分數明顯較第一類和第三類高( p < 0.05)。結論:咽喉逆流症狀指數及徵兆分數是個簡單,且不需耗費太多成本的咽喉逆流診察工具,臨床上應可多加運用來評估嗓音疾患患者,以期能同時治療咽喉逆流和喉部病理變化,達到最佳的效果。此外,仍需後續研究來完整探討咽喉逆流與各種不同喉部疾患的相關性,使臨床醫師對喉部疾患的成因和治療有更全面的了解。 |
| 英文摘要 | BACKGROUND: Laryngopharyngeal reflux (LPR) is present in up to 50% of patients with voice disorders. Currently, many researches propose that reflux symptom index (RSI) greater than 13 and/or reflux finding score (RFS) greater than 7 suggests LPR. The purpose of this investigation is to evaluate the practicability of RSI and RFS in voice clinic and the correlation of RSI and RFS in different voice disorders. METHODS: In our voice clinic, 143 patients presented with voice problems more than one month at their first visit and had no previous treatment of LPR were included. All individuals filled the questionnaires of RSI, and were then evaluated by fiberoptic laryngoscopy/videostroboscopy with photo-documentation to determine RFS by an experienced laryngologist. All patients were divided into three groups: neuromuscular and congenital group (Group 1); inflammatory group (Group 2); and miscellaneous group (Group 3). RESULTS: No obvious correlation was found between RSI and RFS in all patients. RFS of group 2 showed significant difference when compared to other groups (p < 0.05, oneway ANOVA, post-hoc Scheffe's procedure). CONCLUSIONS: Inflammatory or neoplastic vocal lesions may have higher RFS which suggest LRP. RSI and RFS are simple evaluation tools, and should be applied to the patients with voice disorders to treat LPR and laryngeal pathology simultaneously. The association of LPR with different types of voice disorders may need further exploration by using these evaluations. |
本系統中英文摘要資訊取自各篇刊載內容。