过敏性鼻炎作为儿童慢性鼻炎术后复发的独立风险因素
Caixia Zhang1,2,3,4, Hua Zhang1,2,3,4, Qingping Tang5
1Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital of Central South University, No. 87 Xiangya Road, Kaifu District, Changsha 410008, China.
Children (Basel, Switzerland)
|July 29, 2023
概括
过敏性鼻炎显著增加了手术后儿童复发性鼻炎的风险. 识别这种危险因素可以改善儿科慢性鼻炎的治疗结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 过敏 免疫学 免疫学
背景情况:
- 儿童复发性鼻炎的复发率差异很大 (12-50%).
- 儿科慢性鼻炎 (CRS) 的术后复发风险因素尚不清楚.
- 了解儿童的CRS对于有效管理至关重要.
研究的目的:
- 在功能性内镜外科手术 (FESS) 后调查儿童复发性鼻炎的危险因素.
- 为了提高对儿科队列中慢性鼻炎 (CRS) 的理解.
- 为了确定鼻炎在FESS后复发的预测因素.
主要方法:
- 对125例儿科CRS病例进行了回顾性观察研究.
- 人口统计数据的收集和分析.
- 单变量和多变量逻辑回归用于识别风险因素.
主要成果:
- 手术后复发率为21.6%.
- 过敏性鼻炎 (AR) 的病史在21例病例中存在.
- 在AR病史中显著增加了复发风险 (p < 0.000),被确定为独立的风险因素 (p = 0.001).
结论:
- 过敏性鼻炎是FESS后儿童中复发性鼻炎的独立风险因素.
- 向AR管理可能会减少儿童鼻炎复发.
- 对儿科CRS和AR的进一步研究是有必要的.
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