慢性鼻炎可能与慢性咳患者的肺功能下降有关
Pengfei Zhao1, Shin Kariya2, Takaya Higaki1
1Okayama University Academic Field of Medicine, Dentistry and Pharmaceutical Sciences, Department of Otolaryngology-Head and Neck Surgery, Okayama, Japan.
Brazilian journal of otorhinolaryngology
|April 6, 2024
概括
患有慢性咳 (CC) 的慢性鼻炎 (CRS) 患者的肺功能减弱,包括较低的FEV1.0和FEV1.0/FVC比率. 这些肺功能缺陷与CRS患者CT扫描严重性得分较高相关.
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
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性咳 (CC) 显著影响生活质量.
- 慢性鼻炎 (CRS) 是一种常见的疾病,通常与持续的咳有关.
- CRS,CC和客观肺功能测量之间的关系需要进一步阐明.
研究的目的:
- 在被诊断为慢性鼻炎 (CRS) 和慢性咳 (CC) 的患者中调查肺功能参数.
- 探索肺功能,鼻腔疾病严重程度和免疫标志物之间的潜在相关性,在这个患者队列中.
主要方法:
- 对1413名CC患者的回顾性分析,包括109名CC患者的CRS患者.
- 评估肺功能 (FEV1.0,FEV1.0/FVC),隆德 - 麦凯CT得分,乙氨基酸细胞计数,IgE水平和中鼻结局测试 (SNOT).
- 包括一个正常的对照组进行比较分析.
主要成果:
- 与对照组相比,CRS和CC患者的FEV1.0,预测FEV1.0百分比和FEV1.0/FVC比率明显较低.
- 在患有严重鼻疾病的患者中,FEV1.0/FVC比率和隆德-麦凯CT得分之间观察到负相关性.
- 较高的CT得分与较差的肺功能结果有关.
结论:
- 肺功能评估对于患有慢性鼻炎和慢性咳的患者至关重要.
- 建议采用多学科的方法,包括咨询肺科医生,以最佳地管理患有CC的CRS患者.
- 识别客观肺功能缺陷可以帮助定制CRS相关咳的治疗策略.
相关概念视频
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
01:23Chronic Pharyngitis
2.0K
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,...
2.0K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K