一个系统的审查和SNOT-22结果的元分析鼻手术后的鼻手术
Yangyang Fu1, Delong Liu1, Weipeng Huang1
1Department of Otolaryngology-Head and Neck Surgery, Central Hospital of Dalian University of Technology, Dalian Liaoning, China.
Ear, nose, & throat journal
|August 22, 2023
概括
透视鼻手术显著改善慢性鼻炎患者的生活质量,通过中鼻结局测试 (SNOT-22) 测量. 改善与患者年龄和最初的SNOT-22分数有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术结果研究研究.
背景情况:
- 改善医疗保健质量是一个优先事项.
- 慢性鼻炎 (CRS) 影响生活质量 (QOL).
- 中鼻结局测试 (SNOT-22) 是对CRS的一个关键的QOL测量.
研究的目的:
- 系统地审查和分析SNOT-22评分变化后内镜鼻手术 (ESS) 对于CRS.
- 要量化SNOT-22分数在ESS前后的平均变化.
主要方法:
- 在PubMed,谷歌学者和ScienceDirect (2000-2023) 的系统文献搜索.
- 对15项针对成年CRS患者的前性研究的元分析.
- 随机效应模型和混合效应元回归用于分析.
主要成果:
- 所有15项研究都显示,ESS后的SNOT-22分数有统计学上显著的改善 (P < .05).
- 在研究中,SNOT-22得分的平均变化在约25.5个月的随访期间为26.02 (95%CI:12.83-38.60).
- 较高的平均年龄和术前SNOT-22得分与更大的改善相关;较长的随访与较小的变化相关.
结论:
- 透视鼻手术 (ESS) 显然可以提高CRS患者的QOL.
- 在ESS之后,SNOT-22得分显著提高.
- 影响QOL改善的因素包括初始SNOT-22得分,患者年龄和随访时间.
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