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开发和验证慢性鼻炎的鼻内镜评分 (SiNES)

J C Hernaiz-Leonardo¹, B M Alim², A Pascual¹

¹Division of Otolaryngology â€" Head and Neck Surgery, University of British Columbia, Canada.

|April 10, 2024

概括

新的SiNonasal内镜评分 (SiNES) 为慢性鼻炎 (CRS) 提供了准确可靠的分级系统. 这种经过验证的工具改进了临床和研究用途的现有方法.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
鼻科鼻科是指鼻科的专家.
医疗成像医学成像

背景情况:

现有的慢性鼻炎 (CRS) 的内镜分级系统在范围和应用方面存在局限性.
SiNonasal Endoscopic Score (SiNES) 是为了克服这些局限性而开发的,它建立在以前的系统之上.
SiNES评估了五个解剖学区域的,排泄和痕.

研究的目的:

开发和验证一种用于慢性鼻炎 (CRS) 的新型内镜分级系统.
评估SiNonasal内镜评分 (SiNES) 的有效性和可靠性.
为了将SiNES与修改后的隆德-肯尼迪 (MLK) 评分进行比较.

主要方法:

SiNES是通过专家共识开发的,并在两个中心的79名CRS患者中得到验证.
鼻科医生使用SiNES和MLK分数评估了内镜视频;可靠性用类内相关系数 (ICC) 测量.
使用斯皮尔曼相关性和正规相关性分析 (CCA) 分析了SiNES,MLK和患者报告的结果措施 (PROMs) 之间的相关性.

主要成果:

SiNES表现出卓越的测试对比和测试重试可靠性,超过了MLK得分的良好可靠性.
面部,内容和融合有效性由研究作者和独立小组证实.
总的SiNES得分与自我报告的嗅觉丧失有相关性.

结论:

SiNonasal内镜评分 (SiNES) 是所有慢性鼻炎亚型的验证,可靠和准确的分级系统.
与现有的内镜分级系统相比,SiNES提供了改进.
SiNES系统适用于临床实践和鼻科研究环境.

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