慢性鼻炎中的病毒:系统性审查
Nitish Kumar1, Tripti Brar1, Hirohito Kita2
1Department of Otorhinolaryngology-Head & Neck Surgery, Mayo Clinic in Arizona, Phoenix, AZ, United States.
Frontiers in allergy
|December 20, 2023
概括
病毒在慢性鼻炎 (CRS) 患者中比对照患者更频繁地被发现,而鼻病毒是最常见的. 需要进一步的研究来澄清病毒在CRS发展和持久性中的确切作用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 病毒在慢性鼻炎 (CRS) 中的作用尚不清楚,与急性鼻炎不同.
- 病毒可能有助于启动,恶化或慢性炎症的CRS中鼻腔粘膜.
研究的目的:
- 系统地审查有关病毒在慢性鼻炎中的作用的文献.
- 描述病毒是否是CRS中鼻腔微生物组,殖民者或病原体的一部分.
主要方法:
- 使用Ovid Medline,Embase,Scopus和Web of Science数据库进行了对英语文学的系统审查.
- 搜索包括"病毒"",鼻炎"",犀利病毒"和"慢性鼻炎"等术语,更新至2023年9月.
主要成果:
- 30项研究符合纳入标准,分析了CRS中的病毒流行率,宿主易感性和病理途径.
- 病毒,特别是鼻病毒,在CRS受试者中比对照人群更为普遍.
- 病毒存在与鼻过敏反应,增加细菌易感性,免疫基因上调,呼吸道重塑和更糟糕的症状严重程度有关.
结论:
- 虽然病毒在CRS患者中似乎更普遍,但它们在CRS病理生理学中的确切作用尚不清楚.
- 需要进行大规模的纵向研究,采用标准化采样,以确定病毒在CRS中的作用.
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