在患有慢性鼻炎和喘的患者进行内镜鼻手术之前遵守指南
Lotte Buskbjerg Nøhr1, Therese Ovesen1,2, Kasra Zainali-Gill1
1Department of Otorhinolaryngology, University Clinic for Flavour, Balance and Sleep, Regional Hospital Gødstrup.
Danish medical journal
|February 5, 2024
概括
患有慢性鼻炎和鼻的患者患喘和修复手术的风险更高. 目前的指导方针对这些患者的喘管理没有充分解决,需要多学科护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 过敏和免疫学 过敏和免疫学
背景情况:
- 同时患有慢性鼻炎 (CRS) 和喘的患者的最佳护理因这些疾病之间的相互作用而复杂化.
- 在耳鼻喉科领域,人们对喘缺乏关注.
- 这项研究调查了CRS和喘之间的关系,包括修复手术的风险.
研究的目的:
- 评估CRS功能性内镜外科手术 (FESS) 患者中喘的患病率.
- 评估CRS与鼻息肉 (CRSwNP) 与喘和FESS修订风险之间的关系.
- 检查CRS患者管理中对喘指南的遵守情况.
主要方法:
- 在5年内对589名接受FESS治疗的CRS患者进行了回顾性队列研究.
- 分析包括喘的评估,修订FESS,过敏症和隔膜/轮整形.
- 结果与国际报告和指南进行了比较.
主要成果:
- 34.5%的CRS患者同时患有喘.
- 患有CRSwNP的患者患喘的风险显著增加 (RR=1.82) 和修订FESS (RR=2.20).
- 在没有先前喘诊断的患者中,对喘的注意力不足.
结论:
- 研究群体中喘的患病率低于国际文献报告的水平.
- 丹麦关于CRS管理的国家指导方针对于喘是不够的.
- 多学科的团队管理对于最佳的CRS喘患者护理至关重要.
相关概念视频
Epistaxis
154
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
154
Suctioning the Nasopharyngeal Airway
421
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
421
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
199
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
199
Endoscopic Studies II: Thoracocentesis
261
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
261
Chronic Pharyngitis
2.2K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.2K
Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K


