在高风险患者的高分辨率食道测量前,对鼻腔评估的有用性
1Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
The Korean journal of internal medicine
|November 30, 2023
概括
程序前的鼻子评估可以减少高分辨率食道测量 (HRM) 期间的不良事件和测试失败. 问卷和客观评估有助于识别患有并发症风险的患者,确保更安全的HRM程序.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械 医疗器械
背景情况:
- 高分辨率食道测量 (HRM) 涉及鼻腔导管插入,造成疼痛和表等不良事件的风险.
- 关于减轻与人力资源管理相关的这些安全问题,研究有限.
- 建议在HRM之前对鼻腔进行评估,以提高患者的安全性和程序的成功.
研究的目的:
- 评估HRM前鼻腔评估对尽量减少不良事件的有用性.
- 为了确定鼻腔评估在预防HRM测试失败方面的有效性.
- 确定患者子组,这些患者可能会从HRM之前的鼻腔评估中获益最多.
主要方法:
- 追溯招募22名接受HRM的患者,先进行耳鼻喉咨询以进行鼻腔评估 (2021年12月 - 2022年5月).
- 包括有鼻疾病病史,手术或主观鼻不适的患者.
- 利用中鼻结局测试 (SNOT-22),视觉模拟尺度用于不适,鼻子内镜和声学鼻测仪用于全面的鼻子评估.
主要成果:
- 在90.9%的患者 (20/22) 中成功插入HRM导管,没有显著的不良事件.
- 通过SNOT-22问卷报告了主观鼻腔阻塞的高患病率 (72.7%).
- 鼻计和内镜的客观发现并不总是与主观症状相关;两个插入失败的病例与鼻气道狭窄有关.
结论:
- 针对鼻腔阻塞评估的有针对性的问卷可能会提高HRM的安全性并减少测试失败.
- 对于怀疑鼻腔阻塞的患者,建议对鼻腔进行客观评估,以确保成功和安全的HRM.
- 在人力资源管理中,整合程序前鼻腔评估可以优化患者护理和程序结果.
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