慢性鼻炎与严重喘中的呼吸模式障碍:鼻腔阻塞和息肉不会增加患病率
Rebecca Livingston1,2, Helene Bellas1,2, Jagdeep Sahota2,3
1Therapy and Rehabilitation Department, University College London Hospital NHS Foundation Trust, London, UK.
概括
呼吸模式障碍 (BPD) 是常见的慢性鼻炎 (CRS) 与严重的喘. 然而,CRS状态和鼻腔阻塞不会增加这些患者的BPD患病率.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 慢性鼻炎 (CRS) 和严重的喘经常同时存在.
- 呼吸模式障碍 (BPD),以口腔呼吸为特征,通常与这些疾病有关.
- 鼻腔呼吸对于BPD管理至关重要,但CRS亚型,鼻腔阻塞和BPD患病率之间的联系仍然不清楚.
研究的目的:
- 调查CRS和严重喘患者中BPD的患病率.
- 为了确定CRS亚型 (带有和没有鼻) 和BPD之间的关系.
- 评估鼻腔气流阻塞对该患者群体BPD的影响.
主要方法:
- 评估了130名CRS和严重喘患者.
- 呼吸模式评估工具 (BPAT) 用于识别BPD.
- 测量了峰值鼻吸气流 (PNIF) 和多等级,以评估鼻腔阻塞.
主要成果:
- 患有CRS和严重喘的患者中BPD的患病率为53.1%.
- 在有鼻息肉的CRS (CRSwNP) 和没有鼻息肉的CRS (CRSsNP) 之间没有发现BPD患病率的显著差异.
- 鼻腔阻塞的严重程度 (多级,PNIF) 与BPD或增加呼吸困难没有相关性.
结论:
- 在患有CRS和严重喘的患者中,BPD的流行率很高.
- CRS状态和鼻腔阻塞的程度似乎不会影响该人群中BPD的患病率.
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