Acta Otolaryngol:每日口服辣椒素软膏可改善吞咽困难老年患者的咳嗽反射敏感性

2020-02-19 不详 网络

在我们先前的研究中,单耳应用辣椒素软膏而非安慰剂不能改善老年吞咽困难患者的咳嗽反射性。在本研究中,我们研究了每天耳廓应用辣椒素软膏是否继续改善咳嗽反射性.使用棉签每天在每个外耳道中交替使用0.025%辣椒素软膏,持续2周。在数字内窥镜下通过数字内窥镜评估了咳嗽反射敏感性,并使用柠檬酸对吞咽困难的老年患者进行了吸入性咳嗽激发试验。结果显示,每天耳内施用辣椒素软膏2周后,内镜下的声门关闭评分和咳嗽反射

在我们先前的研究中,单耳应用辣椒素软膏而非安慰剂不能改善老年吞咽困难患者的咳嗽反射性。在本研究中,我们研究了每天耳廓应用辣椒素软膏是否继续改善咳嗽反射性.

使用棉签每天在每个外耳道中交替使用0.025%辣椒素软膏,持续2周。在数字内窥镜下通过数字内窥镜评估了咳嗽反射敏感性,并使用柠檬酸对吞咽困难的老年患者进行了吸入性咳嗽激发试验。

结果显示,每天耳内施用辣椒素软膏2周后,内镜下的声门关闭评分和咳嗽反射明显改善,柠檬酸咳嗽阈值明显降低。结论:每天服用耳廓刺激性辣椒素软膏治疗2周,持续改善老年吞咽困难患者的咳嗽反射敏感性,其内镜评分与柠檬酸咳嗽阈值之间存在显着相关性。

综上所述,该研究结果表明,每天用辣椒素软膏刺激耳廓是一种安全有效的干预措施,可预防有误吸风险的老年人发生肺炎。

原始出处:

Ohnishi H, Jinnouchi O, et al., Daily auricular stimulation with capsaicin ointment improved cough reflex sensitivity in elderly patients with dysphagia: a pilot study. Acta Otolaryngol. 2020 Feb 5:1-5. doi: 10.1080/00016489.2020.1716993. 

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