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排序方式: 共有2169条查询结果,搜索用时 15 毫秒
1.
声带运动障碍的病因和临床表现复杂多变,涉及多学科,从病因上分为神经源性和非神经源性。对于神经源性声带运动障碍的诊治,首先通过喉镜等检查明确有无声带运动障碍及严重程度,值得注意的是声带纵向张力变化障碍也属于运动障碍的范畴;然后采用喉肌电图(LEMG)检查进行定性分析,在确诊神经源性损伤后,进一步对神经损伤部位进行定位诊断并查找导致神经损伤的病因;同时根据喉部神经电生理评估结果,判断预后。最后综合上述的评估结果制定相应的治疗策略。 相似文献
2.
《European annals of otorhinolaryngology, head and neck diseases》2019,136(3):151-154
ObjectivesTo develop an experimental protocol to study the vocal effort generated by introducing barriers to communication, and its relationship with certain personality traits.Material and methodsThe experimental protocol consisted of an interactive game in which the subject gave an investigator instructions to adopt various body positions (semi-directed communication situation). The Control situation included no constraints on communication. Then a Distance Constraint (increased distance between subject and investigator) and a Time Constraint (generation of performance stress by putting the subject in competition with others) were introduced. The vocal parameters studied comprised vocal intensity and fundamental frequency in the middle of the vowel of 3 target phonemes. Subjects also took the NEO FFI-R personality test.ResultsThe study included 41 women aged between 18 and 52 years. Vocal intensity and fundamental frequency increased significantly with the introduction of the constraints (P < 0.05), intensity passing from 75.5 dB to 81.8 dB and frequency from 249.4 Hz to 335.8 Hz. No correlations were found between these changes and results for the various personality traits.ConclusionsThis ecological protocol enables the impact of both physical and emotional obstacles to communication to be studied. No correlations between vocal effort and personality traits emerged. A larger-scale study would be necessary to analyze the continuum between vocal effort and vocal forcing, to improve speech therapy for dysfunctional dysphonia. 相似文献
3.
《Journal of pharmaceutical sciences》2019,108(7):2500-2504
Accurately predicting the hepatic clearance of compounds using in vitro to in vivo extrapolation (IVIVE) is crucial within the pharmaceutical industry. However, several groups have recently highlighted the serious error in the process. Although empirical or regression-based scaling factors may be used to mitigate the common underprediction, they provide unsatisfying solutions because the reasoning behind the underlying error has yet to be determined. One previously noted trend was intrinsic clearance-dependent underprediction, highlighting the limitations of current in vitro systems. When applying these generated in vitro intrinsic clearance values during drug development and making first-in-human dose predictions for new chemical entities though, hepatic clearance is the parameter that must be estimated using a model of hepatic disposition, such as the well-stirred model. Here, we examine error across hepatic clearance ranges and find a similar hepatic clearance-dependent trend, with high clearance compounds not predicted to be so, demonstrating another gap in the field. 相似文献
4.
Marlene S. See M. R. Foxton N. A. Miedzianowski-Sinclair C. E. Roberts C. Nduka 《European journal of plastic surgery》2007,29(8):387-393
The nasolabial fold is a significant facial landmark. Its size, shape, and symmetry are important in facial reanimation surgery,
while effacement is an important goal in rejuvenation surgery. However, quantitative data for the nasolabial fold volume (NLFV)
and depth is still unavailable. We present a new method of measurement using 3D color speckle stereophotogrammetry and its
application in the assessment of NLFV. The VECTRA-3D system was validated to determine its minimum resolution and accuracy.
Normal volunteers aged 13–84 years (n = 87) were imaged in repose. Mother–daughter pairs (n = 15, aged 13–61) were imaged in the upright and supine positions. All data were processed using custom software and analyzed
by linear regression and nonparametric tests as appropriate. NLFV varied from 0.0026 to 0.2306 ml. There was significant correlation
between NLFV and age (r = 0.7269, p < 0.0001). Men had significantly higher NLFV than women across all ages. There was no significant difference between the
left and right NLFV. NLFV altered significantly from upright to supine in all subjects (p = 0.0012). However, the mothers increased their NLFV by 32% from supine to upright postures, which was a greater change than
observed in their daughters. We have demonstrated a rapid, objective, and non-invasive assessment tool for facial reanimation
and rejuvenation surgery. We have quantified the effects of age and posture on NLFV, and the efficacy and longevity of rejuvenation
procedures are currently under investigation. 相似文献
5.
内眦赘皮与重睑成形同期手术的一种新方法 总被引:12,自引:1,他引:11
目的 探索适合同时行重睑成形术和内眦赘皮矫正术的新方法。方法 根据内眦赘皮深部眼轮匝肌结构上的异常特点,遵循内眦赘皮的上睑(倒向性内眦赘皮除外)内侧睑缘处皮肤短缺和尽量减少局部皮肤瘢痕的原则,设计适合同时行重睑成形术的新内眦赘皮矫正术(反Stallard法)。结果 临床应用86例,进行了为期6个月以上的随访,结果所有患者的重睑为稳定性平行型重睑,内眦已完全或大部分开大,手术效果满意。结论 此内眦赘皮矫正术能够充分矫正内眦部结构上的异常,而且适合与重睑成形术同期施行,是一种效果稳定,结果满意的术式。 相似文献
6.
7.
本文通过对老年度性支气管炎与健康老年人甲皱微循环的对照观察,发现管袢密度、畸形管袢、输入枝管径、管袢长度、流态积分存在显著性统计学差异,提示临床应注意血管、血流因素对慢性支气管炎治疗及预后的影响。 相似文献
8.
麝香注射液对脑梗死患者血液流变学及甲襞微循环的影响 总被引:7,自引:0,他引:7
目的 探讨麝香注射液对脑梗死患血液流变学及甲襞微循环的影响。方法 对60例脑梗死急随机分成治疗组和对照组,治疗组予麝香注射液,对照组予复方丹参、低分子右旋糖酐治疗。于治疗前后分别测定上述指标。结果 麝香注射液治疗后血液流变学检查各项指标均显下降,且甲襞微循环血液流速流态等均有显改善。结论 麝香注射液能明显改善血液流变学异常及微循环障碍,在防治脑梗死中有重要价值。 相似文献
9.
江新 《中国激光医学杂志》1995,4(1):30-33
我院应用He-Ne激光治疗551例声带小结,取得较好疗效。为研究作用机理,我们进行了免疫功能测定、测温试验、He-Ne激光照射前后的间接喉镜检查、显微结构研究、抑菌试验和过氧化脂质测定。结果提示He-Ne激光照射治疗声带小结的机理为照射后喉部温度升高、血管扩张、血循环加快,从而增强局部营养,促进喉部粘膜生长、消除组织水肿,加速炎性渗出物和毒素的排泄。而He-Ne激光本身没有杀菌和抑菌作用。 相似文献
10.
F. Teixeira Brandt C. D. Costa Albuquerque J. W. Barros Leal 《International urogynecology journal》1997,8(6):332-335
We report on the vaginal mucosal folds (VMF) at the urethral external meatus. Resection of the VMF reduces the dispersed micturition
and other urinary symptoms.
EDITORIAL COMMENT: The investigators describe the presence of a vaginal mucosal fold (VMF) just dorsal to the urethral meatus
and its relationship to voiding abnormalities. VMF were found on physical examination in 8.9% of the clinic population, all
of whom complained of dispersed micturition, and 79% also experienced other voiding abnormalities. The complaint of dispersed
micturition was successfully treated with excision of the VMF, and the other associated symptoms were improved. This structure
should be routinely looked for on physical examination, especially in patients with voiding symptoms. Only further investigation
of this newly described entity at other centers around the world will determine the incidence of the anatomic finding and
the prevalence of associated voiding disturbances across different populations. 相似文献