参考耳痛:常见原因和基于证据的评估和管理策略
Fatemeh Ramazani1, Charmaine Szalay-Anderson2, Arthur Volpato Batista3
1Otolaryngology resident at the University of Calgary in Alberta.
Canadian family physician Medecin de famille canadien
|November 14, 2023
概括
参考耳痛,或非耳部问题的耳痛是常见的. 本指南有助于医生诊断和管理二次耳痛,改善患者护理和减少专家等待时间.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 初级医疗保健医学 一级医疗保健医学
- 头和部病理学 头部和部病理学
背景情况:
- 耳痛 (耳痛) 是初级保健和耳鼻喉科的常见投诉.
- 近50%的耳痛病例源于非耳部 (次要) 原因.
- 没有其他耳部症状的耳部疼痛强烈暗示了二次来源.
研究的目的:
- 提供一种实用的,基于证据的治疗方法来治疗指导性耳痛.
- 引导家庭医生和耳鼻喉科医生评估和治疗二次耳痛.
主要方法:
- 2000-2020年临床实践和文献的综述.
- 在MEDLINE和PubMed的搜索中使用术语:otalgia,引用的otalgia,二次的otalgia.
- 审查目前的指导指南管理的指导性耳痛.
主要成果:
- 鉴定了引用性耳痛的常见原因:牙,关节,椎,鼻炎,逆流和恶性瘤.
- 强调了解这些不同来源对于准确诊断的重要性.
- 强调需要一个彻底的评估超越耳朵本身.
结论:
- 家庭医生对转诊性耳痛进行有效的评估和选至关重要.
- 了解常见的次要原因可以改善患者获得及时治疗的机会.
- 这种方法可以减少专家转诊的延迟,并加快治疗.
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