鼻后滴水的鼻内镜特征:一个横截面研究
Nur Eliana Tarmizi1, Aneeza Wan Hamizan1, Chong Sian Ng1
1Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
鼻炎患者的鼻后滴水 (PND) 通常是由后鼻腔的分泌物表明的. 其他症状,如扩散性红疹或出血斑,并不是PND的可靠指标.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床鼻科 临床鼻科
- 诊断内镜检查 诊断内镜检查
背景情况:
- 慢性鼻炎经常导致令人烦的鼻后滴水 (PND),这是临床实践中处理不充分的症状.
- 鼻内镜是识别PND的潜在工具,描述的特征包括后鼻腔分泌物,扩散性鼻红疹和出血斑点.
- 这些内镜检测结果尚未在与PND相关的情况下进行系统研究.
研究的目的:
- 评估特定的鼻腔内镜特征与被诊断患有鼻炎的患者中PND的存在之间的关联.
- 为临床医生提供指导,在PND的背景下解释鼻腔内镜检查结果.
主要方法:
- 患有慢性鼻炎的成年患者 (≥18岁) 从耳鼻喉科门诊处招募.
- 患者被分为两组:"带有PND的鼻炎"和"仅有鼻炎".
- 鼻子内镜特征,包括后鼻腔分泌物,鼻红疹 (没有,只有屋顶,扩散) 和出血斑点,被评估和组之间的比较.
主要成果:
- 在98名患者中 (平均年龄为32.3±11.3岁,61.2%为女性),61.2%患有PND.
- 鼻腔后部分泌物的存在与PND显著相关 (78.3%对55.3%,p=0.02,OR=2.81).
- 扩散性鼻红疹在"仅有鼻炎"组中更为常见 (76.3%对53.3%,p=0.02),而在两组中同样存在出血斑点 (11.7%对18.4%,p=0.35).
结论:
- 在内镜检查过程中观察到的后鼻腔分泌物可以作为鼻炎患者烦人的PND的指标.
- 扩散性鼻红疹和出血斑似乎是不特定的炎症迹象,而不是PND的直接指标.
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