随着内镜鼻手术后局部布德索尼德的使用不断发展
Margaret B Mitchell1,2, Neil Bhattacharyya1,2
1Department of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.
概括
在因炎症而进行的内镜鼻手术 (ESS) 后,局部布德索尼德灌越来越常见. 这一趋势表明,布松胺可能会减少对口服皮质类固醇的需求,支持其配方覆盖范围.
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.
- 药理学 药理学是指药理学的学科.
背景情况:
- 局部布德索尼德灌经常用于标签外的内镜后鼻手术 (ESS) 来控制粘膜炎症.
- 这种非标签的使用可能会给医疗保险表单带来挑战.
研究的目的:
- 评估ESS后局部布德索尼德处方的频率.
- 为了确定它的使用是否被认为是常见的做法.
- 为了评估局部布迪索尼德与口服皮质类固醇处方的趋势.
主要方法:
- 对2016年至2022年接受ESS的8157名患者的术后处方数据的回顾性分析.
- 在手术后的30天和180天内量化局部布迪索尼德和口服皮质类固醇处方率.
主要成果:
- 15.9%和22.1%的ESS患者在手术后的30天和180天内分别接受了局部布迪索尼德处方.
- 局部布德索尼德的处方频率同比显著增加,到2022年达到20.3%和24.9%.
- 手术后的口服皮质固醇处方在研究期间显示出显著的下降趋势.
结论:
- 在ESS之后,局部布德索尼德灌越来越多地被处方,这表明在临床实践中越来越多的采用.
- 局部布迪索尼德的使用增加可能与术后口服皮质类固醇的依赖性减少有关.
- 这些发现支持将局部布德索尼德纳入用于ESS后管理的医疗保险配方.
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