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咽后壁磨削术治疗慢性咽后壁炎伴慢性疲劳综合征1例报告

A Case Report of Chronic Epipharyngitis With Chronic Fatigue Treated With Epipharyngeal Abrasive Therapy (EAT).

作者信息

Hirobumi Ito

机构信息

Otolaryngology, Ito ENT Clinic, Funabashi, JPN.

出版信息

Cureus. 2024 Feb 23;16(2):e54742. doi: 10.7759/cureus.54742. eCollection 2024 Feb.

DOI:10.7759/cureus.54742
PMID:38405656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10884883/
Abstract

A case of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) with chronic epipharyngitis was treated with epipharyngeal abrasive therapy (EAT). The symptoms of ME/CFS improved along with the improvement of chronic epipharyngitis. The patient was followed up with endocrine and autonomic function tests. Endocrine function tests included salivary cortisol and salivary α-amylase activity. Salivary α-amylase activity was stimulated by EAT. EAT improved the diurnal variability of salivary cortisol secretion. Autonomic function tests included heart rate variability analysis by orthostatic stress test. EAT normalized parasympathetic and sympathetic reflexes over time and regulated autonomic balance. Based on the improvement of symptoms and test results, EAT was considered effective for ME/CFS. A literature review was conducted on the mechanism of the therapeutic effect of EAT on ME/CFS.

摘要

1例伴有慢性咽炎的肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)患者接受了咽上缩肌磨削术(EAT)治疗。随着慢性咽炎的改善,ME/CFS的症状也有所改善。对该患者进行了内分泌和自主神经功能测试随访。内分泌功能测试包括唾液皮质醇和唾液α-淀粉酶活性。EAT刺激了唾液α-淀粉酶活性。EAT改善了唾液皮质醇分泌的昼夜变化。自主神经功能测试包括通过直立应激试验进行心率变异性分析。随着时间的推移,EAT使副交感神经和交感神经反射恢复正常,并调节自主神经平衡。基于症状和测试结果的改善,EAT被认为对ME/CFS有效。对EAT治疗ME/CFS的疗效机制进行了文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/c94c90a34229/cureus-0016-00000054742-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/2943ecd45ff5/cureus-0016-00000054742-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/a71c81e6a906/cureus-0016-00000054742-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/46a1c8fe7c5c/cureus-0016-00000054742-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/88a665a4de20/cureus-0016-00000054742-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/858736b62a19/cureus-0016-00000054742-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/c94c90a34229/cureus-0016-00000054742-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/2943ecd45ff5/cureus-0016-00000054742-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/a71c81e6a906/cureus-0016-00000054742-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/46a1c8fe7c5c/cureus-0016-00000054742-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/88a665a4de20/cureus-0016-00000054742-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/858736b62a19/cureus-0016-00000054742-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/855c/10884883/c94c90a34229/cureus-0016-00000054742-i06.jpg

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本文引用的文献

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Cureus. 2023 Dec 10;15(12):e50288. doi: 10.7759/cureus.50288. eCollection 2023 Dec.
2
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome is common in post-acute sequelae of SARS-CoV-2 infection (PASC): Results from a post-COVID-19 multidisciplinary clinic.肌痛性脑脊髓炎/慢性疲劳综合征在新冠病毒2型感染(PASC)的急性后遗症中很常见:来自新冠后多学科诊所的结果
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肠微生物组-宿主相互作用的多组学研究:在短期和长期肌痛性脑脊髓炎/慢性疲劳综合征患者中的研究。
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