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慢性鼻炎疾病控制的共识标准:国际德尔菲研究

A R Sedaghat¹, W J Fokkens², V J Lund³

¹Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

|October 7, 2023

概括

在慢性鼻炎 (CRS) 疾病控制的基本标准上达成共识,包括症状严重程度,皮质类固醇使用,鼻腔阻塞和患者报告. 这些发现旨在在全球范围内标准化CRS管理.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
呼吸系统医学呼吸系统医学
临床实践指南临床实践指南

背景情况:

慢性鼻炎 (CRS) 疾病控制是评估患者状况的关键指标.
定义CRS控制的不一致标准阻碍了全球标准化.
这项研究旨在就评估CRS疾病控制的基本标准达成共识.

研究的目的:

确定和发展对评估慢性鼻炎 (CRS) 疾病控制的基本标准的共识.
为了解决当前CRS控制评估标准中的不一致性.
为广泛接受的CRS控制标准提供基础.

主要方法:

在三轮中使用了经过修改的Delphi方法.
一个指导委员会制定了24个潜在的CRS控制标准的初步清单.
"EPOS 2020指南"的主要作者参与了共识过程.

主要成果:

32名参与者完成了这项研究的所有三轮.
在基本标准上达成共识:整体症状严重程度,需要全身皮质类固醇,鼻腔阻塞严重程度和患者报告的控制.
在鼻腔内镜检查,嗅觉丧失,生活质量,活动障碍和鼻水严重程度方面达成了近乎一致的结论.

结论:

控制CRS疾病的基本标准包括症状严重程度,皮质类固醇使用,鼻腔阻塞和患者报告的结果.
应该考虑接近共识的项目及其固有的警告.
这些标准为制定普遍接受的CRS控制评估标准提供了基础.

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